| Foundcare, Inc. | |
|
1901 S Congress Ave Ste 100 Boynton Beach FL 33426-6556 | |
| (561) 274-6400 | |
| (561) 274-3912 |
| Full Name | Foundcare, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1901 S Congress Ave Ste 100, Boynton Beach, Florida |
| Authorized Official Name and Position | Elisha Silva (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 5614325849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundcare, Inc. 2330 S Congress Ave West Palm Beach FL 33406-7608 Ph: (561) 432-5849 | Foundcare, Inc. 1901 S Congress Ave Ste 100 Boynton Beach FL 33426-6556 Ph: (561) 274-6400 |
| NPI Number | 1124751003 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124751003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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