Bronxcare Dr. Martin Luther King Jr. Health Center in Bronx - Federally Qualified Health Center (fqhc)

Bronxcare Dr. Martin Luther King Jr. Health Center - NPI 1437231693

Bronxcare Dr. Martin Luther King Jr. Health Center is a Federally Qualified Health Center (fqhc) in Bronx, New York. Bronxcare Dr. Martin Luther King Jr. Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Bronxcare Dr. Martin Luther King Jr. Health Center is 1437231693. The last update date is 2018-05-31.

Bronxcare Dr. Martin Luther King Jr. Health Center's current location address is 1276 Fulton Ave, Bronx, New York. You can contact this provider via phone number 7189018600 and fax number 7182931475. The mailing address for Bronxcare Dr. Martin Luther King Jr. Health Center is 1276 Fulton Ave, Bronx, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bronxcare Dr. Martin Luther King Jr. Health Center
Address 1276 Fulton Ave, Bronx, New York
Phone Number 7189018600
Fax Number 7182931475
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SENIOR VP-
Authorized Official Name Demarco G Victor
Credentials CPA
Telephone Number 7189018600

NPI Number Detail

NPI Number 1437231693
Provider Enumeration Date 2006-10-19
Last Updated Date 2018-05-31

Provider Mailing Address Detail

Address 1276 Fulton Ave
City Bronx
State New York (NY)
Post Code 104563402
Phone Number 7189018600
Fax Number 7182931475

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No 7000212R
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
W0437 NY BLUE CROSS
244573 NY --

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FAQs about Bronxcare Dr. Martin Luther King Jr. Health Center

What is the Bronxcare Dr. Martin Luther King Jr. Health Center's unique identification number?

The Bronxcare Dr. Martin Luther King Jr. Health Center has been assigned the NPI (National Provider Identifier) Number 1437231693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Bronxcare Dr. Martin Luther King Jr. Health Center is physically located?

The Bronxcare Dr. Martin Luther King Jr. Health Center is situated at the following address: 1276 Fulton Ave, Bronx, NY 104563402.

What is Bronxcare Dr. Martin Luther King Jr. Health Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bronxcare Dr. Martin Luther King Jr. Health Center is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1437231693 to Bronxcare Dr. Martin Luther King Jr. Health Center?

The Centers for Medicare & Medicaid Services originally issued the 1437231693 to Bronxcare Dr. Martin Luther King Jr. Health Center on 2006-10-19.

As of what date were the details related to Bronxcare Dr. Martin Luther King Jr. Health Center most recently updated or revised?

The information pertaining to Bronxcare Dr. Martin Luther King Jr. Health Center, including its address, specialty, and other relevant details, was last updated or revised on 2018-05-31.

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