MEDICARE: HHH CHOICES HEALTH PLAN, LLC

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	302R00000X	Health Maintenance Organization

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

General Provider Information

NPI Number	:	1811984735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HHH CHOICES HEALTH PLAN, LLC

Provider Business Mailing Address
First Line	:	2100 BARTOW AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-4614
Country	:	US
Telephone Number	:	718-678-1600
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 BARTOW AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-4614
Country	:	US
Telephone Number	:	718-678-1600
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. MARY FRANCES BARRETT
Credential	:
Telephone Number	:	914-681-8600

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	01/15/2008

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Directions to “HHH CHOICES HEALTH PLAN, LLC ” Practice Location

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