| Community Coalition Alliance | |
|
516 S 10th St Suite 211 Fernandina FL 32034-3530 | |
| (904) 277-3699 | |
| (904) 277-7043 |
| Full Name | Community Coalition Alliance |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 516 S 10th St, Fernandina, Florida |
| Authorized Official Name and Position | Debi Macintyre (BOARD CHAIR) |
| Authorized Official Contact | 3524082009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Coalition Alliance 516 S 10th St Suite 211 Fernandina FL 32034-3530 Ph: (904) 277-3699 | Community Coalition Alliance 516 S 10th St Suite 211 Fernandina FL 32034-3530 Ph: (904) 277-3699 |
| NPI Number | 1942633755 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 08/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942633755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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