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NPI Code Detail

MEDICARE: PROJECT SAMARITAN HEALTH SERVICES, INC.

MEDICARE: PROJECT SAMARITAN HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)7003246RNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851480032
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROJECT SAMARITAN HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 137-50 JAMAICA AVE
Second Line :
City : JAMAICA
State : NY
Zip : 11435-3610
Country : US
Telephone Number : 718-298-5100
Fax Number : 718-298-5128
Provider Business Practice Location Address
First Line : 1545 INWOOD AVE
Second Line :
City : BRONX
State : NY
Zip : 10452-2001
Country : US
Telephone Number : 718-299-5500
Fax Number : 718-299-7679
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MRS. MARGUERITE LOUISE GEBHARDT
Credential : RN
Telephone Number : 718-657-1100
Provider Enumeration Date : 10/12/2006
Last Update Date : 08/22/2020

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Directions to “PROJECT SAMARITAN HEALTH SERVICES, INC. ” Practice Location

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