NPIMap

Organization Active NPI

Union Community Health Center, Inc

Doing business as Union Community Health Ctr, Inc(Grand Concourse)

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
National Provider Identifier
1285860544
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNION COMMUNITY HEALTH CENTER, INC
Doing business as
Union Community Health Ctr, Inc(Grand Concourse)
Practice address
2021 Grand Concourse
Bronx, NY 10453-4304
Phone
(718) 960-9000
Fax
(718) 960-3824
NPI assigned
Jun 1, 2009
Last updated
Jul 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mary Hartnett, CFO
Title
Cfo
Phone
(718) 960-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NY Primary

Addresses

Primary practice location

2021 Grand Concourse
Bronx, NY 10453-4304

Mailing address

2021 Grand Concourse
Bronx, NY 10453-4304
Phone (718) 960-9000

Other names 1

  • Union Community Health Ctr, Inc(Grand Concourse) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080623000249 NY Part A Provider - Federally Qualified Health Center (FQHC) 4486545266 1 other NPI on this enrollment
Practice locations: Bronx, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285860544. Details of each certification follow.

Federally qualified health center certification: CCN 331983

Legal name
UNION COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 30, 2008
Last certification
Sep 30, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 19, 1999 in NY
Enrollment address
2021 Grand Concourse
Bronx, NY 10453-4317

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Union Comm HTH Ctr9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lottie Lott Individual Corporate Director May 29, 2008
Mary Hartnett Individual Corporate OfficerChief Financial Officer Jan 26, 2006 50%
W-2 Managing EmployeeChief Financial Officer Jan 26, 2006 50%
Anne Spellman Individual Corporate OfficerChief Operating Officer/Cno Jan 26, 2006 50%
W-2 Managing EmployeeChief Operating Officer/Cno Jul 17, 2008 50%
Soraya Alvarez Individual Corporate Director May 29, 2008
Barbara M Calamari Individual Corporate Director May 29, 2008
Nelson Eng Individual Corporate Director May 29, 2008

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1285860544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534304",
            "telephone_number": "718-960-9000",
            "fax_number": "718-960-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534304",
            "telephone_number": "718-960-9000",
            "fax_number": "718-960-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "HARTNETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-960-9000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Community Health Ctr, Inc(Grand Concourse)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.