| Community Healthcare Network, Inc. | |
|
1880 Bathgate Ave Bronx NY 10457-6259 | |
| (718) 294-5891 | |
| (718) 294-2468 |
| Full Name | Community Healthcare Network, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1880 Bathgate Ave, Bronx, New York |
| Authorized Official Name and Position | Alan J Wengrofsky (CFO) |
| Authorized Official Contact | 2125452481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthcare Network, Inc. 44 W 28th Street 5th Floor New York NY 10001-4212 Ph: (212) 545-2409 | Community Healthcare Network, Inc. 1880 Bathgate Ave Bronx NY 10457-6259 Ph: (718) 294-5891 |
| NPI Number | 1639459142 |
|---|---|
| Provider Enumeration Date | 08/29/2011 |
| Last Update Date | 09/12/2025 |
| Medicare PECOS PAC ID | 7416855143 |
|---|---|
| Medicare Enrollment ID | O20120906000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639459142 | NPI | - | NPPES |
| 00695941 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7002119R (New York) | Primary |
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