JORDAN AT CCIA
NPI 1649529678
Clinic/Center - Federally Qualified Health Center (FQHC) in Canandaigua, NY

Active since September 06, 2012
120 N MAIN ST, SUITE 11, CANANDAIGUA, NY 14424(585) 396-6980 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan At Ccia NPPES

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

JORDAN AT CCIA (NPI 1649529678) is a healthcare organization registered as a federally qualified health center (fqhc) in Canandaigua, New York and active in the NPI registry since September 2012. The organization lists Bridgette Wiefling, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1649529678
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameANTHONY L. JORDAN HEALTH CORPORATION
Location Address120 N MAIN ST, SUITE 11Canandaigua, NY 14424-1258
Mailing Address82 Holland StreetRochester, NY 14605-2131
Organization SubpartYes
Authorized OfficialBridgette WieflingPresident/ceo · (585) 423-2878
Enumeration DateSeptember 6, 2012
Last NPPES UpdateSeptember 7, 2012
NPI 1649529678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
120 N MAIN ST, Canandaigua, NY 14424

Other Names 1

Doing Business AsJordan At Ccia

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
120 N MAIN ST
CANANDAIGUA, NY 14424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony L. Jordan Health Corporation's NPI number?

The NPI number for Anthony L. Jordan Health Corporation is 1649529678. It was assigned to this organization in the NPPES registry on September 6, 2012. The provider is doing business as Jordan At Ccia.

Where is Anthony L. Jordan Health Corporation located?

Anthony L. Jordan Health Corporation is located at 120 N Main St Suite 11, Canandaigua, NY 14424. The listed phone number is (585) 396-6980.

What is Anthony L. Jordan Health Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Anthony L. Jordan Health Corporation was last updated on September 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.