| La Casa De Salud, Inc | |
|
754 E 151st St Bronx NY 10455 | |
| (347) 352-2484 | |
| (917) 473-6970 |
| Full Name | La Casa De Salud, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 754 E 151st St, Bronx, New York |
| Authorized Official Name and Position | Vicky Gatell (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7189607629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Casa De Salud, Inc 311 E 175th St Bronx NY 10457-5859 Ph: (718) 960-7568 | La Casa De Salud, Inc 754 E 151st St Bronx NY 10455 Ph: (347) 352-2484 |
| NPI Number | 1326493982 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326493982 | NPI | - | NPPES |
| 04458637 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7000271R (New York) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (New York) | Secondary |
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