| Fau Community Health Center | |
|
1650 Osceola Drive West Palm Beach FL 33409 | |
| (561) 803-8880 | |
| (877) 409-1795 |
| Full Name | Fau Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1650 Osceola Drive, West Palm Beach, Florida |
| Authorized Official Name and Position | Louisa Pontiroli Kelly (CEO) |
| Authorized Official Contact | 5618038880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fau Community Health Center 1650 Osceola Drive West Palm Beach FL 33409 Ph: (561) 803-8880 | Fau Community Health Center 1650 Osceola Drive West Palm Beach FL 33409 Ph: (561) 803-8880 |
| NPI Number | 1093026619 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 05/19/2024 |
| Medicare PECOS PAC ID | 8921097171 |
|---|---|
| Medicare Enrollment ID | O20210715001845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093026619 | NPI | - | NPPES |
| 303078400 | Medicaid | FL | |
| 681903 | Other | FL | FQHC MEDICARE 2021 FOR BOTH 1650 AND 720 LOCATIONS |
| K3331C | Other | FL | MEDICARE |
| 303078411 | Medicaid | FL | |
| 002Z8 | Other | FL | BCBS |
| 112255000 | Other | FL | FQHC MEDICAID 2021 FOR 1650 ONLY |
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