Organization
URBAN HEALTH PLAN, INC.
Active
Other names
FANNIE LOU HAMER
Organization subpart
No
Provider details
NPI number
Authorized official
PALOMA HERNANDEZ (PRESIDENT AND CEO)
(718) 589-2440
Entity
Organization
Contact information
Practice address
1001 JENNINGS ST, BRONX, NY 10460-6032
(347) 407-7100
(718) 484-8648
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
02994952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02994952
—
NY
01
—
W03211
OSCAR
NY
Enumeration date
06/25/2018
Last updated
09/24/2024
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