ANTHONY L. JORDAN HEALTH CORPORATION
NPI 1013291335
Clinic/Center - Federally Qualified Health Center (FQHC) in Rochester, NY
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 33D2277850
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 03-26-2027
About ANTHONY L. JORDAN HEALTH CORPORATION
This page provides the complete NPI Profile along with additional information for Anthony L. Jordan Health Corporation, a primary care provider established in Rochester, New York operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1013291335 assigned on October 2011. The practitioner's primary taxonomy code is 261QF0400X with license number 2701211R (NY). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Janice Harbin Dds (President/ceo)
- NPI
- 1013291335 Verify this NPI
- Provider Name
- ANTHONY L. JORDAN HEALTH CORPORATION
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 322 LAKE AVE BROWN SQUARE CENTER ROCHESTER, NY 14608
- Location Phone
- (585) 254-6480
- Location Fax
- (585) 254-1092
- Mailing Address
- 82 HOLLAND ST ALJHC ROCHESTER, NY 14605
- Mailing Phone
- (585) 423-5800
- Mailing Fax
- (585) 423-2890
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-05-2011
- Last Update Date
- 02-04-2025
- Code Navigator
A primary care provider (PCP) like Anthony L. Jordan Health Corporation sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 2701211R
- License State
- NY
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16467A | OTHER (01) | NY | MEDICARE PART B |
| 6613 | OTHER (01) | NY | BLUE CROSS OF ROCHESTER |
| 331838 | OTHER (01) | NY | MEDICARE PART A |
| G0187295590 | OTHER (01) | NY | BLUE CHOICE OF ROCHESTER |
| 03800906 | MEDICAID (05) | NY |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2277850
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- March 07, 2023
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. LINDA L. CLARK
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Anthony L. Jordan Health Corporation in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ROCHESTER, NY 14608
ROCHESTER, NY 14608
ROCHESTER, NY 14608
ROCHESTER, NY 14608
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013291335, enumerated as an "organization" on October 05, 2011.
The provider is located at 322 LAKE AVE BROWN SQUARE CENTER ROCHESTER, NY 14608 and the phone number is (585) 254-6480.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
