| Community Health Center At Mobile Health Center | |
|
1344 22nd St S St Petersburg FL 33712-2744 | |
| (727) 824-8181 | |
| Not Available |
| Full Name | Community Health Center At Mobile Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1344 22nd St S, St Petersburg, Florida |
| Authorized Official Name and Position | Edward Kucher (CHIEF REGULATORY OFFICER) |
| Authorized Official Contact | 7278248100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center At Mobile Health Center Po Box 10549 St Petersburg FL 33733-0549 Ph: (727) 824-8181 | Community Health Center At Mobile Health Center 1344 22nd St S St Petersburg FL 33712-2744 Ph: (727) 824-8181 |
| NPI Number | 1194283382 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 10/17/2024 |
| Medicare PECOS PAC ID | 8527961028 |
|---|---|
| Medicare Enrollment ID | O20190719000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194283382 | NPI | - | NPPES |
| 029565528 | Medicaid | FL | |
| 029565527 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
John E Kern Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5838 9th Ave N, St Petersburg, FL 33710 Phone: 727-347-8132 Fax: 727-347-3560 | |
My Kit Free Florida Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6707 38th Ave N, St Petersburg, FL 33710 Phone: 727-800-9958 Fax: 855-552-3776 | |
Pedro J Morales Md & Tim P Carlson Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2191 9th Ave No, Suite 220, St Petersburg, FL 33713 Phone: 727-327-9667 Fax: 727-321-1655 | |
Bay Area Endoscopy Center Limited Partnership Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5771 49th St N, St Petersburg, FL 33709 Phone: 727-528-2261 Fax: 727-526-7071 | |
American Family & Geriatric Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5880 49th St N, Suite 101 N, St Petersburg, FL 33709 Phone: 727-527-8788 Fax: 727-527-8828 | |
Remmel Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6416 9th St N, St Petersburg, FL 33702 Phone: 727-525-1141 Fax: 727-525-1195 | |
Women's Health Care St. Pete Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6450 38th Ave N, Suite 320, St Petersburg, FL 33710 Phone: 727-344-1234 |