| Urban Health Plan, Inc. | |
|
271 E 138th St Bronx NY 10454-2909 | |
| (347) 407-7120 | |
| (917) 261-3911 |
| Full Name | Urban Health Plan, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 271 E 138th St, Bronx, New York |
| Authorized Official Name and Position | Paloma Hernandez (CEO) |
| Authorized Official Contact | 7185892440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Health Plan, Inc. 1065 Southern Blvd Bronx NY 10459-2417 Ph: (718) 589-2440 | Urban Health Plan, Inc. 271 E 138th St Bronx NY 10454-2909 Ph: (347) 407-7120 |
| NPI Number | 1184263485 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 01/03/2020 |
| Medicare PECOS PAC ID | 3173517281 |
|---|---|
| Medicare Enrollment ID | O20201201001983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184263485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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