Concourse Medical Center Inc

LBN: Concourse Medical Center Inc
Concourse Medical Center Inc is an health care organization with primary practice located at 880 Morris Ave , Bronx NY 10451-3412. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Concourse Medical Center Inc can be contacted via phone (718) 665-9340, or through Matos, Ana via phone (718) 665-9340.

Contact Information

Primary practice address
880 Morris Ave Bronx NY 10451-3412
Phone: (718) 665-9340
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matos, Ana CASAC ADVANCED
Phone: (718) 665-9340

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 090111295 New York

Profile Details

NPI number 1073722286
LBN Legal business name Concourse Medical Center Inc
DBA Doing business as
Authorized official Matos, Ana CASAC ADVANCED
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Jul 9th, 2021 - about 3 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 1073722286 NPPES
New York MEDICAID 02243034
New York Other A300233658
New York Other A400073294

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