Organization
URBAN HEALTH PLAN, INC.
Active
Other names
VIDA GUIDANCE CENTER at St. Vincent de Paul
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PALOMA HERNANDEZ (PRESIDENT AND CEO)
(718) 589-2440
Entity
Organization
Contact information
Practice address
900 INTERVALE AVE, BRONX, NY 10459-4240
(718) 589-2440
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W03211
OSCAR
—
Enumeration date
02/06/2018
Last updated
02/06/2018
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