| Bella Vista Health Center | |
|
890 Hunts Point Ave Bronx NY 10474-5402 | |
| (718) 589-2440 | |
| (718) 589-4793 |
| Full Name | Bella Vista Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 890 Hunts Point Ave, Bronx, New York |
| Authorized Official Name and Position | Alexandra Borbon (DIRECTOR, MANAGED CARE OFFICE, CONT) |
| Authorized Official Contact | 7185892440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella Vista Health Center 1065 Southern Boulevard Bronx NY 10452-2417 Ph: (718) 589-2440 | Bella Vista Health Center 890 Hunts Point Ave Bronx NY 10474-5402 Ph: (718) 589-2440 |
| NPI Number | 1982758066 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 03/17/2011 |
| Medicare PECOS PAC ID | 3173517281 |
|---|---|
| Medicare Enrollment ID | O20100304000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982758066 | NPI | - | NPPES |
| 00244977 | Medicaid | NY | |
| 02994952-00244977 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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