Healthcare Provider Details

I. General information

NPI: 1437255155
Provider Name (Legal Business Name): UNION COMMUNITY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 E 188TH ST
BRONX NY
10458-5302
US

IV. Provider business mailing address

260 E 188TH ST
BRONX NY
10458-5302
US

V. Phone/Fax

Practice location:
  • Phone: 718-220-2020
  • Fax:
Mailing address:
  • Phone: 718-220-2020
  • Fax: 718-960-6290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number7000255R
License Number StateNY

VIII. Authorized Official

Name: MRS. MARY HARTNETT
Title or Position: CFO
Credential:
Phone: 718-960-9465