Provider Demographics
NPI:1639459142
Name:COMMUNITY HEALTHCARE NETWORK, INC.
Entity Type:Organization
Organization Name:COMMUNITY HEALTHCARE NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR PATIENT FINANCIAL SERV
Authorized Official - Prefix:
Authorized Official - First Name:PRIYA
Authorized Official - Middle Name:D,
Authorized Official - Last Name:DIRPAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-545-2409
Mailing Address - Street 1:60 MADISON AVE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1600
Mailing Address - Country:US
Mailing Address - Phone:212-545-2439
Mailing Address - Fax:646-312-0481
Practice Address - Street 1:1880 BATHGATE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-6259
Practice Address - Country:US
Practice Address - Phone:718-294-5891
Practice Address - Fax:718-294-2468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-29
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7002119R261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
WI331043Medicare Oscar/Certification
NY331043Medicare Oscar/Certification