CAPITAL CITY GOSPEL MISSION FREE CLINIC - NPI 1710687199

Q: What is Capital City Gospel Mission Free Clinic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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About Capital City Gospel Mission Free Clinic NPPES

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

CAPITAL CITY GOSPEL MISSION FREE CLINIC (NPI 1710687199) is a healthcare organization registered as a physician assistant in Albany, New York and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Stephanie Zeronda, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1710687199

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameCAPITAL CITY GOSPEL MISSION FREE CLINIC

Location Address88 TRINITY PLACEAlbany, NY 12202

Mailing Address259 S Pearl StAlbany, NY 12202-1859

Phone(518) 533-5415

Organization SubpartYesParent: Capital City Gospel Mission

Authorized OfficialStephanie ZerondaClinic Director · (518) 533-5415

Enumeration DateMarch 6, 2023

NPPES CertifiedMarch 2, 2023

✔ NPI 1710687199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

88 TRINITY PLACE, Albany, NY 12202

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1034632

Capital City Rescue Mission Free Clinic · Albany, NY

Active · expires Mar 26, 2027

CLIA Number33D1034632

Laboratory TypeCommunity Clinic

Certificate Effective DateDecember 8, 2004

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorMs. Stephanie W. Zeronda

Laboratory Phone(518) 462-0459

Laboratory LocationCapital City Rescue Mission Free Clinic88 Trinity Place, Albany, NY 12202

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

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 Capital City Gospel Mission Free Clinic's NPI number?

The NPI number for Capital City Gospel Mission Free Clinic is 1710687199. It was assigned to this organization in the NPPES registry on March 6, 2023.

Where is Capital City Gospel Mission Free Clinic located?

Capital City Gospel Mission Free Clinic is located at 88 Trinity Place, Albany, NY 12202. The listed phone number is (518) 533-5415.

What is Capital City Gospel Mission Free Clinic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Capital City Gospel Mission Free Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1034632) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Capital City Gospel Mission Free Clinic was last updated on March 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.