COMMUNITY HEALTHCARE NETWORK, INC. (NPI# 1912436858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912436858 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTHCARE NETWORK, INC. |
| Other Organization Name | PHOENIX SCHOOL BASED HEALTH CENTER |
| Practice Address |
504 W. 158th Street 5th Floor, Room 511 New York NY 10032-7202 |
| Mailing Address |
60 Madison Ave Fl 5 New York NY 10010-1600 |
| Practice Telephone | 9175213130 |
| Practice Fax Number | 9175213108 |
| Mailing Telephone | 2125452439 |
| Mailing Fax Number | 6463120481 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |
| Authorized Official Name | ALAN J. WENGROFSKY (VICE PRESIDENT OF FINANCE AND CFO) |
| Authorized Official Telephone | 2125452439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7002119R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00695941 | 05 |
| Other Name | Type Code |
|---|---|
| Phoenix School Based Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326525338 | Community Healthcare Network, Inc. | Clinic/Center | 2581 Atlantic Ave, Brooklyn, NY 11207 | 2018-07-23 |
| 1720581697 | Community Healthcare Network, Inc. | Pharmacy | 3611 21st St, Long Island City, NY 11106 | 2018-03-16 |
| 1124396874 | Community Healthcare Network, Inc. | Clinic/Center | 9004 161st St, 5th Floor, Jamaica, NY 11432-6141 | 2011-12-09 |
| 1639459142 | Community Healthcare Network, Inc. | Clinic/Center | 4215 3rd Ave, 2nd Floor, Bronx, NY 10457-4501 | 2011-08-29 |
| 1952542771 | Community Healthcare Network, Inc. | Clinic/Center | 36-11 21st St, Long Island City, NY 11106 | 2009-03-09 |
| 1023185725 | Community Healthcare Network, Inc. | Clinic/Center | 9704 Sutphin Blvd, Jamaica, NY 11435-4721 | 2006-11-29 |
| 1699842500 | Community Healthcare Network, Inc. | Clinic/Center | 150 Essex St, New York, NY 10002-2301 | 2006-11-29 |
| 1811064744 | Community Healthcare Network, Inc. | Clinic/Center | 1167 Nostrand Ave, Brooklyn, NY 11225-5417 | 2006-11-29 |
| 1184791923 | Community Healthcare Network, Inc. | Clinic/Center | 97-04 Sutphin Blvd, Jamaica, NY 11435-4721 | 2006-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTHCARE NETWORK, INC. | 60 Madison Ave 5th Fl, New York, NY 10010-1600 |
| Street Address |
504 W. 158TH STREET 5TH FLOOR, ROOM 511 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1336650688 | Damian Family Care Center, Inc. | Clinic/Center | 13 Hell Gate Cir, New York, NY 10035-6602 | 2017-10-13 |
| 1922475235 | Odyssey Health Services | Clinic/Center | 219 E 121 St, New York, NY 10035 | 2015-08-24 |
| 1083093637 | Damian Family Care Centers, Inc. | Clinic/Center | 500 8th Avenue, 3rd Floor, New York, NY 10018 | 2015-05-28 |
| 1972913473 | Community Health Project Inc. | Clinic/Center | 230 W 17th Sreet, New York, NY 10011-5325 | 2014-05-06 |
| 1053588988 | Under 21 | Clinic/Center | 460 W 41st, New York, NY 10036 | 2008-05-09 |
| 1609897453 | Betances Health Center | Clinic/Center | 280 Henry St., Betances Health Center, New York, NY 10002-4816 | 2006-07-21 |
| 1588691828 | William F. Ryan Community Health Center Inc | Clinic/Center | 279 E 3rd St, New York, NY 10009 | 2006-06-26 |
| 1215978960 | Ryan Chelsea Clinton Community Health Center | Clinic/Center | 645 10th Ave, New York, NY 10036 | 2006-06-10 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.