| Active Community Health Center Corp | |
|
6830 Pines Blvd Pembroke Pines FL 33024-7545 | |
| (954) 333-8787 | |
| (954) 333-8621 |
| Full Name | Active Community Health Center Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6830 Pines Blvd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Pablo Uriarte (CEO) |
| Authorized Official Contact | 9543943095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Community Health Center Corp 19321 Sw 14th St Pembroke Pines FL 33029-6124 Ph: (954) 394-3095 | Active Community Health Center Corp 6830 Pines Blvd Pembroke Pines FL 33024-7545 Ph: (954) 333-8787 |
| NPI Number | 1245801091 |
|---|---|
| Provider Enumeration Date | 07/02/2021 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245801091 | NPI | - | NPPES |
| 008779301 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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