JERICHO ROAD COMMUNITY HEALTH CENTER
NPI 1215502711
Clinic/Center - Federally Qualified Health Center (FQHC) in Buffalo, NY
NPI Status: Active since May 26, 2021
Contact Information
182 BRECKENRIDGE ST
BUFFALO, NY
ZIP 14213
Phone: (716) 348-3025
Fax: (716) 348-3011
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 33D2228493
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 03-26-2027
About JERICHO ROAD COMMUNITY HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Jericho Road Community Health Center, a primary care provider established in Buffalo, New York operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1215502711 assigned on May 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Jericho Road Community Health Center. The authorized official of this NPI record is Jackie Endress (Credentialing Specialist)
- NPI
- 1215502711
- Provider Legal Name
- JERICHO ROAD MINISTRIES INC.
- Other Organization Name
- JERICHO ROAD COMMUNITY HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 182 BRECKENRIDGE ST BUFFALO, NY 14213
- Location Phone
- (716) 348-3025
- Location Fax
- (716) 348-3011
- Mailing Address
- 182 BRECKENRIDGE ST BUFFALO, NY 14213
- Mailing Phone
- (716) 348-3011
- Mailing Fax
- (716) 348-3011
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-26-2021
- Last Update Date
- 08-23-2021
- Code Navigator
A primary care provider (PCP) like Jericho Road Community Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2228493
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- June 20, 2023
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- JAMES D. STOLTZFUS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Jericho Road Community Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 5 | 0 | 2 | 7 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 10 | 0 | 4 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 0 + 0 + 4 + 7 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1215502711 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720668114 | AMAR TAKRANI DO Individual | Student in an Organized Health Care Education/Training Program | 182 BRECKENRIDGE ST BUFFALO, NY 14213 (716) 881-6191 |
| 1093325730 | DR. SHARYSSE CHRISTINA KAYOUMEDJIAN MD Individual | Student in an Organized Health Care Education/Training Program | 182 BRECKENRIDGE ST BUFFALO, NY 14213 (716) 348-3011 |
| 1912602988 | SENG HKYET MD Individual | Student in an Organized Health Care Education/Training Program | 182 BRECKENRIDGE ST BUFFALO, NY 14213 (716) 881-6191 |
| 1619590387 | DR. ANTHONY PAUL SALVATORE BURDO MD Individual | Family Medicine | 182 BRECKENRIDGE ST BUFFALO, NY 14213 (716) 881-6191 |
| 1912693060 | SAMANTHA GARAS M.D. Individual | Student in an Organized Health Care Education/Training Program | 182 BRECKENRIDGE ST BUFFALO, NY 14213 (716) 881-6191 |
| 1235988775 | LEAH NACOLE PENNARIO REGISTERED NURSE Individual | Registered Nurse (Community Health) | 182 BRECKENRIDGE ST BUFFALO, NY 14213 (716) 881-6139 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215502711, enumerated in the NPI registry as an "organization" on May 26, 2021
The provider is located at 182 Breckenridge St Buffalo, Ny 14213 and the phone number is (716) 348-3025
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider's CLIA number is 33D2228493 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on May 26, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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