| Bay Pines Va Health Care Systems | |
|
1000 Bay Pines Blvd Dom C184 St Petersburg FL 33744 | |
| (727) 398-6661 | |
| (727) 398-9509 |
| Full Name | Bay Pines Va Health Care Systems |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1000 Bay Pines Blvd Dom C184, St Petersburg, Florida |
| Authorized Official Name and Position | William L. Ware (SOCIAL SCIENCE PROGRAM SPECIALIST) |
| Authorized Official Contact | 7273986661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Pines Va Health Care Systems 1000 Bay Pines Blvd Dom C184 St Petersburg FL 33744 Ph: (727) 398-6661 | Bay Pines Va Health Care Systems 1000 Bay Pines Blvd Dom C184 St Petersburg FL 33744 Ph: (727) 398-6661 |
| NPI Number | 1578644431 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578644431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1307 (Illinois) | Primary |
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