| Community Health Centers, Inc | |
|
225 N 1st St Leesburg FL 34748-5150 | |
| (407) 905-8827 | |
| (352) 360-2389 |
| Full Name | Community Health Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 N 1st St, Leesburg, Florida |
| Authorized Official Name and Position | Margaret Brennan (PRESIDENT/CEO) |
| 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 225 N 1st St Leesburg FL 34748-5150 Ph: (407) 905-8827 |
| NPI Number | 1881783124 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 02/05/2018 |
| Medicare PECOS PAC ID | 4082515390 |
|---|---|
| Medicare Enrollment ID | O20090325000728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881783124 | NPI | - | NPPES |
| 029545112 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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