NPIMap

Organization Active NPI

Union Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
National Provider Identifier
1659754885
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7000255R Issued in NY
Legal business name
UNION COMMUNITY HEALTH CENTER, INC.
Practice address
2101 Quarry Road
Bronx, NY 10457-2594
Phone
(718) 618-8236
Fax
(718) 960-6290
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Mrs. Mary E Hartnett
Title
Cfo
Phone
(718) 960-9465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 7000255R NY Primary

Addresses

Primary practice location

2101 Quarry Road
Bronx, NY 10457-2594

Mailing address

260 E 188TH St
Bronx, NY 10458-5302
Phone (718) 618-8236

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150902002015 NY Part A Provider - Federally Qualified Health Center (FQHC) 4486545266 Practice locations: Bronx, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659754885. Details of each certification follow.

Federally qualified health center certification: CCN 331165

Legal name
UNION COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 4, 2015
Last certification
Sep 4, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 12, 1999 in NY
Enrollment address
2101 Quarry Rd
Bronx, NY 10457-1642

Other NPIs with the same Medicare PAC ID 7

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

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 2

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

NameRoleSinceShare
Mary Hartnett Individual Corporate OfficerCfo Jan 26, 2006
W-2 Managing Employee Jan 26, 2006
Anne Spellman Individual Corporate OfficerCoo Jan 1, 2004
W-2 Managing Employee Jan 1, 2004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1659754885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E 188TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585302",
            "telephone_number": "718-618-8236",
            "fax_number": "718-960-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 QUARRY ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572594",
            "telephone_number": "718-618-8236",
            "fax_number": "718-960-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "HARTNETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-960-9465",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7000255R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.