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COMMUNITY HEALTHCARE NETWORK INC. NPI 1699842500


NPI Information

NPI: 1699842500
Provider Name: COMMUNITY HEALTHCARE NETWORK, INC.

Doing Business As: LOWER EAST SIDE HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
255 E HOUSTON ST
NEW YORK, NY
ZIP 10002
Phone: (212) 477-1120
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COMMUNITY HEALTHCARE NETWORK, INC. is a federally qualified health center (fqhc) clinic center in New York, NY. COMMUNITY HEALTHCARE NETWORK, INC. NPI is 1699842500. The provider is registered as an organization entity type.
The provider Is Doing Business As Lower East Side Health Center.

The provider's business location address is:

255 E HOUSTON ST
NEW YORK, NY
ZIP 10002-013
Phone: (212) 477-1120
Fax: (212) 477-8957

The provider's authorized official is Alan J. Wengrofsky .
The authorized official title is Cfo and has the following contact phone number (212) 545-2481.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 6/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)7002119RNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104915495MEDICAIDNEW YORK
200695941MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.