Freeman House - Part Time Clinic

LBN: Urban Health Plan, Inc.
Freeman House - Part Time Clinic is an health care organization with primary practice located at 999 Freeman St , Bronx NY 10459-2153. 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. Urban Health Plan, Inc. can be contacted via phone (718) 589-2440, or through Deleon, Samuel via phone (718) 589-2440.

Contact Information

Primary practice address
999 Freeman St Bronx NY 10459-2153
Phone: (718) 589-2440
Fax: (718) 991-4516
Website:
Map and Directions
Authorized official contact:
Name: Deleon, Samuel Doctor of Medicine (MD)
Phone: (718) 589-2440

Health care specialties

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

Profile Details

NPI number 1467750760
LBN Legal business name Urban Health Plan, Inc.
DBA Doing business as Freeman House - Part Time Clinic
Authorized official Deleon, Samuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 10th, 2011
Last updated Mar 10th, 2011 - about 15 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 1467750760 NPPES
New York MEDICAID 02994952

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