Organization · Type 2 NPI

Jericho Road Ministries, Inc.

Federally Qualified Health Center (FQHC) · Buffalo, NY

NPI number 1952893091 Active

Practice location

1021 Broadway St
Buffalo, NY 14212-1460

Fax (716) 529-3040

Mailing address

184 Barton St
Buffalo, NY 14213-1573

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X1401237R (NY)

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

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About NPI 1952893091

Jericho Road Ministries, Inc.'s National Provider Identifier is 1952893091, issued on Jun 5, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Buffalo, NY. The record was last updated on Aug 23, 2021.