Organization
URBAN HEALTH PLAN, INC.
Active
Parent organization
BELLA VISTA HEALTH CENTER
Other names
Bella Vista Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLA VISTA HEALTH CENTER
Authorized official
MS. ALEXANDRA BORBON (DIRECTOR, MANAGED CARE OFFICE, CONT)
(718) 589-2440
Entity
Organization
Contact information
Practice address
890 HUNTS POINT AVE, BRONX, NY 10474-5402
(718) 589-2440
(718) 589-4793
Mailing address
1065 SOUTHERN BOULEVARD, BRONX, NY 10452-2417
(718) 589-2440
(718) 991-4516
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244977
—
NY
05
—
02994952-00244977
—
NY
Enumeration date
01/23/2007
Last updated
03/17/2011
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