| Centerplace Health, Inc | |
|
2200 Ringling Blvd Sarasota FL 34237-6102 | |
| (941) 529-0200 | |
| Not Available |
| Full Name | Centerplace Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 Ringling Blvd, Sarasota, Florida |
| Authorized Official Name and Position | Melissa Parker (CEO) |
| Authorized Official Contact | 9415290200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerplace Health, Inc 1750 17th St Ste N Sarasota FL 34234-8690 Ph: (941) 529-0200 | Centerplace Health, Inc 2200 Ringling Blvd Sarasota FL 34237-6102 Ph: (941) 529-0200 |
| NPI Number | 1104316272 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 02/24/2021 |
| Medicare PECOS PAC ID | 4587912860 |
|---|---|
| Medicare Enrollment ID | O20180802001275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104316272 | NPI | - | NPPES |
| 025148204 | Medicaid | FL | |
| 025148205 | Medicaid | FL | |
| 025148201 | Medicaid | FL | |
| 025148200 | Medicaid | FL | |
| 025148203 | Medicaid | FL | |
| 025148202 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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