Provider Demographics
NPI:1851924294
Name:TBHC MEDICAL SERVICES PC
Entity Type:Organization
Organization Name:TBHC MEDICAL SERVICES PC
Other - Org Name:BHMA URGENT CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-250-6813
Mailing Address - Street 1:240 WILLOUGHBY ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5418
Mailing Address - Country:US
Mailing Address - Phone:718-258-0681
Mailing Address - Fax:
Practice Address - Street 1:514 FULTON STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:718-940-5000
Practice Address - Fax:718-940-5001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TBHC MEDICAL SERVICES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-13
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care