District Clinic Holdings, Inc. | |
1515 N Flagler Dr Ste 101 West Palm Beach FL 33401-3429 | |
(561) 659-1270 | |
Not Available |
Full Name | District Clinic Holdings, Inc. |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1515 N Flagler Dr Ste 101, West Palm Beach, Florida |
Authorized Official Name and Position | Darcy Davis (CEO) |
Authorized Official Contact | 5618045885 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
District Clinic Holdings, Inc. 1515 N Flagler Dr Ste 101 West Palm Beach FL 33401-3429 Ph: (561) 659-1270 | District Clinic Holdings, Inc. 1515 N Flagler Dr Ste 101 West Palm Beach FL 33401-3429 Ph: (561) 659-1270 |
NPI Number | 1598103004 |
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Provider Enumeration Date | 06/06/2013 |
Last Update Date | 03/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598103004 | NPI | - | NPPES |
008037106 | Medicaid | FL | |
008037124 | Medicaid | FL | |
008037102 | Medicaid | FL | |
008037118 | Medicaid | FL | |
008037100 | Medicaid | FL | |
008037104 | Medicaid | FL | |
008037112 | Medicaid | FL | |
008037123 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Primary |
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