Jessica Guzman Medical Center

LBN: Comprehensive Commuity Development Corporation
Jessica Guzman Medical Center is an health care organization with primary practice located at 616 Castle Hill Ave , Bronx NY 10473-1402. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Comprehensive Commuity Development Corporation can be contacted via phone (718) 239-9013, or through Espada, Pedro via phone (718) 589-2232.

Contact Information

Primary practice address
616 Castle Hill Ave Bronx NY 10473-1402
Phone: (718) 239-9013
Fax: (718) 794-0468
Website:
Map and Directions
Authorized official contact:
Name: Espada, Pedro
Phone: (718) 589-2232

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 7000239R New York

Profile Details

NPI number 1659534907
LBN Legal business name Comprehensive Commuity Development Corporation
DBA Doing business as Jessica Guzman Medical Center
Authorized official Espada, Pedro
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 8th, 2008
Last updated Jun 21st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659534907 NPPES
New York MEDICAID 00665274

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