Organization · Type 2 NPI

Beacon Christian Community Health Center, Inc.

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

NPI number 1639246358 Active

Practice location

2079 Forest Ave
Staten Island, NY 10303-1735

Call (718) 815-6560 Map

Fax (718) 815-6576

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X7004209R (NY)
Internal Medicine Physician 207R00000X7004209R (NY)
Obstetrics & Gynecology Physician 207V00000X7004209R (NY)
Pediatrics Physician 208000000X7004209R (NY)
Podiatrist 213E00000X7004209R (NY)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1639246358

Beacon Christian Community Health Center, Inc.'s National Provider Identifier is 1639246358, issued on Nov 29, 2006. 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 Apr 7, 2023.