| Community Health Center Of Pinellas Inc | |
|
12420 130th Ave Largo FL 33774-1950 | |
| (727) 587-7729 | |
| (727) 587-7739 |
| Full Name | Community Health Center Of Pinellas Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12420 130th Ave, Largo, Florida |
| Authorized Official Name and Position | Elodie Dorso (CEO) |
| Authorized Official Contact | 7278218100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Pinellas Inc Po Box 10549 St Petersburg FL 33733-0549 Ph: (727) 824-8126 | Community Health Center Of Pinellas Inc 12420 130th Ave Largo FL 33774-1950 Ph: (727) 587-7729 |
| NPI Number | 1255319976 |
|---|---|
| Provider Enumeration Date | 01/03/2006 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 8527961028 |
|---|---|
| Medicare Enrollment ID | O20060224000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255319976 | NPI | - | NPPES |
| 029565513 | Medicaid | FL | |
| 029565512 | Medicaid | FL |
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