MEDICARE: UNION COMMUNITY HEALTH CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	7000255R	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	7000255R	OTHER	NY	UCHC NYS OPERATING CERT #
3	6129	OTHER	NY	UCHC PFI #

General Provider Information

NPI Number	:	1437255155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION COMMUNITY HEALTH CENTER, INC.

Provider Business Mailing Address
First Line	:	260 E 188TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5302
Country	:	US
Telephone Number	:	718-220-2020
Fax Number	:	718-960-6290

Provider Business Practice Location Address
First Line	:	260 E 188TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5302
Country	:	US
Telephone Number	:	718-220-2020
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MRS. MARY HARTNETT
Credential	:
Telephone Number	:	718-960-9465

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	02/23/2023

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Directions to “UNION COMMUNITY HEALTH CENTER, INC. ” Practice Location

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