| Agape Community Health Center, Inc | |
|
1680 Dunn Ave Ste 35 Jacksonville FL 32218-4744 | |
| (904) 760-4904 | |
| Not Available |
| Full Name | Agape Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1680 Dunn Ave Ste 35, Jacksonville, Florida |
| Authorized Official Name and Position | Shenita Smith (BUSINESS COORDINATOR) |
| Authorized Official Contact | 9048006347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Community Health Center, Inc 1680 Dunn Ave Ste 35 Jacksonville FL 32218-4744 Ph: (904) 760-4904 | Agape Community Health Center, Inc 1680 Dunn Ave Ste 35 Jacksonville FL 32218-4744 Ph: (904) 760-4904 |
| NPI Number | 1376178814 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 11/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376178814 | NPI | - | NPPES |
| 017234419 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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