KOINONIA HEALTHCARE – NPI #1225122054
Clinic/Center

KOINONIA HEALTHCARE is an AHC clinic located in ALBANY, NY. NPPES has assigned the NPI number 1225122054 to KOINONIA HEALTHCARE on October 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. KOINONIA HEALTHCARE is also known by the name KOINONIA PRIMARY CARE AND PSYCHIATRIC SERVICES. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 15 years ago on Nov 03, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KOINONIA HEALTHCARE below.

NPI Profile for
KOINONIA HEALTHCARE

NPI Number
1225122054
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KOINONIA HEALTHCARE
Other Name: KOINONIA PRIMARY CARE AND PSYCHIATRIC SERVICES
Primary location
553 CLINTON AVENUE
ALBANY, NY 12206
Phone: (518) 689-0282 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT PAEGLOW
DIRECTOR
Phone: (518) 689-0282
Updated
Identifiers

Identifiers for KOINONIA HEALTHCARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCDPHP GROUPNYG9202
MEDICAIDNY01753680
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 NY 60/201542

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.