Organization · Type 2 NPI

Community Health Center of Richmond, Inc

Federally Qualified Health Center (FQHC) · Staten Island, NY

NPI number 1114137403 Active

Practice location

235 Port Richmond Avenue
Staten Island, NY 10302-1701

Fax (718) 442-0189

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	2903588 (NY)
Primary Care Clinic/Center	261QP2300X	7004210R (NY)

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Elaine Clarke, MDPediatrics Physician Staten Island, NY NPI 1497763171
Maximo Jose D'oleo, MDPediatrics Physician Staten Island, NY NPI 1356598973
Rosalinda Rosario-Lipka, DOAdult Medicine Physician Staten Island, NY NPI 1699843151

Other federally qualified health center (fqhc) providers in Staten Island

See all in Staten Island →

NPI record

NPI: 1114137403
Entity type: Organization (Type 2)
Issued: May 23, 2007
Last updated: Jun 4, 2026
Status: Active

Other names

<unavail>
Richmond Community Support Organization · former legal business name

Authorized official

Lucie Gabriel
Director of Patient Financial Servi
(718) 924-2254

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114137403

Community Health Center of Richmond, Inc's National Provider Identifier is 1114137403, issued on May 23, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Staten Island, NY. The record was last updated on Jun 4, 2026.