| Community Health Center Of Pinellas Inc. | |
|
14106 58th Street N Clearwatr FL 33760-3758 | |
| (727) 824-8181 | |
| (727) 286-6224 |
| Full Name | Community Health Center Of Pinellas Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 14106 58th Street N, Clearwatr, Florida |
| Authorized Official Name and Position | Edward Kucher (CHIEF REGULATORY OFFICER) |
| Authorized Official Contact | 7278248100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Pinellas Inc. 14100 58th St N Clearwater FL 33760-9900 Ph: (727) 824-8181 | Community Health Center Of Pinellas Inc. 14106 58th Street N Clearwatr FL 33760-3758 Ph: (727) 824-8181 |
| NPI Number | 1144041336 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144041336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |