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NPI Code Detail

MEDICARE: NORTH HUDSON COMMUNITY ACTION CORPORATION

MEDICARE: NORTH HUDSON COMMUNITY ACTION CORPORATION
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)

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 : 1942455951
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH HUDSON COMMUNITY ACTION CORPORATION
Provider Business Mailing Address
First Line : 800 31ST ST
Second Line :
City : UNION CITY
State : NJ
Zip : 07087-2428
Country : US
Telephone Number : 201-210-0100
Fax Number : 201-348-0100
Provider Business Practice Location Address
First Line : 124 GRAND ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-2510
Country : US
Telephone Number : 201-795-9521
Fax Number : 201-795-0406
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MICHAEL F SHABABB
Credential :
Telephone Number : 201-866-2388
Provider Enumeration Date : 11/19/2008
Last Update Date : 05/23/2013

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Directions to “NORTH HUDSON COMMUNITY ACTION CORPORATION ” Practice Location

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