| Community Health Centers, Inc. | |
|
710 S. Tampa Avenue Suite 203 Orlando FL 32805 | |
| (407) 905-8827 | |
| Not Available |
| Full Name | Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 710 S. Tampa Avenue, Orlando, Florida |
| Authorized Official Name and Position | Mark W Dickinson (VP/CFO) |
| Authorized Official Contact | 4079058827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Centers, Inc. 110 S Woodland St Winter Garden FL 34787-3546 Ph: (407) 905-8827 | Community Health Centers, Inc. 710 S. Tampa Avenue Suite 203 Orlando FL 32805 Ph: (407) 905-8827 |
| NPI Number | 1245964162 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 4082515390 |
|---|---|
| Medicare Enrollment ID | O20231004001640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245964162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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