Jericho Road Community Health Center

LBN: Jericho Road Ministries, Inc.
Jericho Road Community Health Center is an health care organization with primary practice located at 1021 Broadway St , Buffalo NY 14212-1460. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Jericho Road Ministries, Inc. can be contacted via phone (716) 529-3020, or through Endress, Jackie via phone (716) 348-3000.

Contact Information

Primary practice address
1021 Broadway St Buffalo NY 14212-1460
Phone: (716) 529-3020
Fax: (716) 529-3040
Website:
Map and Directions
Authorized official contact:
Name: Endress, Jackie
Phone: (716) 348-3000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 1401237R New York

Profile Details

NPI number 1952893091
LBN Legal business name Jericho Road Ministries, Inc.
DBA Doing business as Jericho Road Community Health Center
Authorized official Endress, Jackie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 5th, 2018
Last updated Aug 23rd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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