Concourse Medical Center Inc in Bronx - Methadone

Concourse Medical Center Inc - NPI 1073722286

Concourse Medical Center Inc is a Methadone in Bronx, New York. Concourse Medical Center Inc practices all healthcare services and medical treatments related to Methadone. The NPI Number for Concourse Medical Center Inc is 1073722286. The last update date is 2021-07-09.

Concourse Medical Center Inc's current location address is 880 Morris Ave, Bronx, New York. You can contact this provider via phone number 7186659340 and fax number 7186652394. The mailing address for Concourse Medical Center Inc is 880 Morris Ave, Bronx, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Concourse Medical Center Inc
Address 880 Morris Ave, Bronx, New York
Phone Number 7186659340
Fax Number 7186652394
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Matos Ana
Credentials CASAC ADVA
Telephone Number 7186659340

NPI Number Detail

NPI Number 1073722286
Provider Enumeration Date 2007-05-22
Last Updated Date 2021-07-09

Provider Mailing Address Detail

Address 880 Morris Ave
City Bronx
State New York (NY)
Post Code 104513412
Phone Number 7186659340
Fax Number 7186652394

Provider's Primary Taxonomy Detail

Speciality Methadone
Taxonomy 261Qm2800X
Licence No 90111295
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2243034 NY --
A300233658 NY MEDICARE
A400073294 NY MEDICARE

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FAQs about Concourse Medical Center Inc

What is the unique identifier code issued to Concourse Medical Center Inc by the Centers for Medicare & Medicaid Services?

The Concourse Medical Center Inc has been assigned the NPI (National Provider Identifier) 1073722286. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Concourse Medical Center Inc's physical address?

The Concourse Medical Center Inc is physically located at 880 Morris Ave, in the city of Bronx, NY, with the postal code 104513412.

What is Concourse Medical Center Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Concourse Medical Center Inc is Methadone, and the taxonomy classification code that categorizes this area of expertise is 261Qm2800X.

On what date did Concourse Medical Center Inc receive its 1073722286 assignment from the Centers for Medicare & Medicaid Services?

The Concourse Medical Center Inc was assigned its 1073722286 on 2007-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Concourse Medical Center Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Concourse Medical Center Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-07-09.

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