COMMUNITY HEALTH CENTER OF RICHMOND INC (NPI# 1952739054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952739054 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF RICHMOND INC |
| Practice Address |
439 Port Richmond Ave Staten Island NY 10302-1714 |
| Mailing Address |
235 Port Richmond Ave Staten Island NY 10302-1701 |
| Practice Telephone | 7189242254 |
| Mailing Telephone | 7189242254 |
| Mailing Fax Number | 7184420189 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | HENRY THOMPSON (CEO) |
| Authorized Official Telephone | 7189242254 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Street Address |
439 PORT RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10302-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407045917 | Gracie-ann Samadh Roberts | Physician Assistant | 439 Port Richmond Ave, Staten Island, NY 10302-1714 | 2007-10-20 |
| 1154862506 | Mariana Mussa | Dental Hygienist | 439 Port Richmond Ave, Staten Island, NY 10302-1714 | 2017-03-18 |
| 1669922126 | Tracy Tompkinson | Dental Hygienist | 439 Port Richmond Ave, Staten Island, NY 10302-1714 | 2016-10-09 |
| 1730639378 | Briana Limoncelli | Dental Hygienist | 439 Port Richmond Ave, Staten Island, NY 10302-1714 | 2016-10-06 |
| 1316497969 | Ana Paula Mata | Dental Hygienist | 439 Port Richmond Ave, Staten Island, NY 10302-1714 | 2016-10-06 |
| 1710360854 | Brian Joseph Fernandes | Dentist | 439 Port Richmond Ave, Staten Island, NY 10302-1714 | 2015-07-07 |
| 1295172401 | Dandline Alexandre | Dentist | 439 Port Richmond Ave, Staten Island, NY 10302-1714 | 2013-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494174 | Denasia Fitch | Student in an Organized Health Care Education/Training Program | 80 Willowbrook Rd, Staten Island, NY 10302 | 2019-08-26 |
| 1548752983 | Lawan Rickenbacker | Counselor | 28 Treadwell Ave, Staten Island, NY 10302 | 2018-06-01 |
| 1275059321 | Omolara Rachael Adediji | Nurse Practitioner | 210 Trantor Place, Apt 1d, Staten Island, NY 10302 | 2017-08-21 |
| 1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
| 1902358864 | Natalie Valencia Toney-zubairu | Nurse Practitioner | Community Health Center of Richmond, 235 Port Richmond Ave, Staten Island, NY 10302 | 2016-10-26 |
| 1912453788 | Adewunmi Bankole | Registered Nurse | 124 Nicholas Avenue Apt B, Staten Island, NY 10302 | 2016-08-31 |
| 1154788974 | Eileen Patricia Cameron | Counselor | 263-267 Port Richmond Aveune, Staten Island, NY 10302 | 2016-01-25 |
| 1225468432 | Total Dental Care of Staten Island, P.C. | Dentist | 135 Willowbrook Road, Staten Island, NY 10302 | 2013-11-25 |
| 1760723621 | Si. Senior Lifestyle Center Inc | Clinic/Center | 98 Port Richmond Ave, Staten Island, NY 10302 | 2013-03-01 |
| 1962751255 | Kathleen Gomez-rodriguez | Speech-Language Pathologist | 12 Crystal Ave, Staten Island, NY 10302 | 2012-09-03 |
| Find all providers in zip 10302 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1750700902 | Beacon Christian Community Health Center Inc | Clinic/Center | 2031 Forest Ave, Staten Island, NY 10303-1733 | 2014-04-15 |
| 1184107963 | Hudson River Healthcare, Inc | Clinic/Center | 56 Bay Street, Brightpoint 56 Bay Street Outpatient Treatment, Staten Island, NY 10301-2563 | 2018-09-08 |
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| 1538621289 | Ezras Choilim Health Center, Inc. | Clinic/Center | 49 Forest Rd Fl 3, Monroe, NY 10950-2923 | 2019-04-02 |
| 1134693708 | Rochester Primary Care Network, Inc | Clinic/Center | 3 Parkside Ct Bldg 1, Utica, NY 13501-5643 | 2019-01-17 |
| 1164994190 | Morris Heights Health Center, Inc. | Clinic/Center | 1 W Burnside Ave, Bronx, NY 10453-4003 | 2019-01-02 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10302 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER OF RICHMOND INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.