Union Community Health Center, Inc. | |
4487 3rd Ave Bronx NY 10457-1526 | |
(718) 960-9465 | |
(718) 960-3824 |
Full Name | Union Community Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 4487 3rd Ave, Bronx, New York |
Authorized Official Name and Position | Mary Hartnett (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7189609465 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Union Community Health Center, Inc. 4487 3rd Ave Bronx NY 10457-1526 Ph: (718) 960-9465 | Union Community Health Center, Inc. 4487 3rd Ave Bronx NY 10457-1526 Ph: (718) 960-9465 |
NPI Number | 1427371012 |
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Provider Enumeration Date | 03/10/2010 |
Last Update Date | 03/28/2018 |
Medicare PECOS PAC ID | 4486545266 |
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Medicare Enrollment ID | O20121022000256 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427371012 | NPI | - | NPPES |
02064111 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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