Provider Demographics
NPI:1922234954
Name:UNION COMMUNITY HEALTH CTR
Entity Type:Organization
Organization Name:UNION COMMUNITY HEALTH CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYE
Authorized Official - Suffix:
Authorized Official - Credentials:FINANCE MANAGER
Authorized Official - Phone:718-960-3346
Mailing Address - Street 1:260 EAST 188TH STREET
Mailing Address - Street 2:UNION COMMUNITY HEALTH
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5302
Mailing Address - Country:US
Mailing Address - Phone:718-960-3817
Mailing Address - Fax:718-960-3824
Practice Address - Street 1:260 EAST 188TH STREET
Practice Address - Street 2:UNION COMMUNITY HEALTH
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5302
Practice Address - Country:US
Practice Address - Phone:718-960-3817
Practice Address - Fax:718-960-3824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02391353Medicaid