Organization
UNION COMMUNITY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E HARTNETT (CFO)
(718) 960-9465
Entity
Organization
Contact information
Practice address
2016 BRONXDALE AVE, BRONX, NY 10462-3388
(718) 618-8236
(718) 960-6290
Mailing address
260 E 188TH ST, BRONX, NY 10458-5302
(718) 618-8236
(718) 960-6290
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7000255R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02064111
—
NY
Enumeration date
07/27/2015
Last updated
07/05/2023
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