Healthcare Provider Details

I. General information

NPI: 1841143906
Provider Name (Legal Business Name): COMMUNITY HEALTH PROJECT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 BERGEN AVE FL 4
BRONX NY
10455-1368
US

IV. Provider business mailing address

356 W 18TH ST
NEW YORK NY
10011-4462
US

V. Phone/Fax

Practice location:
  • Phone: 212-271-7200
  • Fax: 212-937-4893
Mailing address:
  • Phone: 212-271-7200
  • Fax: 212-937-4893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: PATRICK MCGOVERN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 212-271-7200