BEACON CHRISTIAN COMMUNITY HEALTH CENTER, INC.
NPI 1639246358
Clinic/Center - Federally Qualified Health Center (FQHC) in Staten Island, NY

Q: What is Beacon Christian Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since November 29, 2006

2079 FOREST AVE, STATEN ISLAND, NY 10303(718) 815-6560(718) 815-6576 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2023, Mar 15, 2016, Jan 20, 2016 and 1 more (4 updates tracked since 2015).

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About Beacon Christian Community Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON CHRISTIAN COMMUNITY HEALTH CENTER, INC. (NPI 1639246358) is a healthcare organization registered as a federally qualified health center (fqhc) in Staten Island, New York and active in the NPI registry since November 2006. The organization lists David Hoi Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639246358

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameBEACON CHRISTIAN COMMUNITY HEALTH CENTER, INC.

Location Address2079 FOREST AVEStaten Island, NY 10303-1735

Mailing Address2079 Forest AveStaten Island, NY 10303-1735 · (718) 815-6560 · Fax (718) 815-6570

Phone(718) 815-6560

Fax(718) 815-6576

Organization SubpartNo

Authorized OfficialDavid Hoi KimCeo · (718) 815-6560

Enumeration DateNovember 29, 2006

Last NPPES UpdateApril 7, 20234 updates tracked since enumeration

NPPES CertifiedApril 7, 2023

✔ NPI 1639246358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X · License 7004209R (NY)

Also ListedInternal MedicineTaxonomy 207R00000X · License 7004209R (NY)

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 7004209R (NY)

Also ListedPediatricsTaxonomy 208000000X · License 7004209R (NY)

Also ListedPodiatristTaxonomy 213E00000X · License 7004209R (NY)

2079 FOREST AVE, Staten Island, NY 10303

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID HOI KIM MD

Family Medicine