| Care Resource Community Health Centers, Inc | |
|
871 W Oakland Park Blvd Wilton Manors FL 33311 | |
| (954) 567-7141 | |
| (954) 565-5624 |
| Full Name | Care Resource Community Health Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 871 W Oakland Park Blvd, Wilton Manors, Florida |
| Authorized Official Name and Position | Rick Siclari (CEO) |
| Authorized Official Contact | 3055761234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Resource Community Health Centers, Inc 3510 Biscayne Blvd Ste 300 Miami FL 33137-3840 Ph: (305) 576-1234 | Care Resource Community Health Centers, Inc 871 W Oakland Park Blvd Wilton Manors FL 33311 Ph: (954) 567-7141 |
| NPI Number | 1093717464 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Medicare PECOS PAC ID | 1658350749 |
|---|---|
| Medicare Enrollment ID | O20100128000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093717464 | NPI | - | NPPES |
| 0034079-07 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Primary |
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