| Treasure Coast Community Health Inc | |
|
44 N Pine St Fellsmere FL 32948-5944 | |
| (772) 257-8224 | |
| (772) 213-3157 |
| Full Name | Treasure Coast Community Health Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 44 N Pine St, Fellsmere, Florida |
| Authorized Official Name and Position | Vicki Soule (CEO) |
| Authorized Official Contact | 7722578224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Coast Community Health Inc 1555 Indian River Blvd Ste B210 Vero Beach FL 32960-7113 Ph: (772) 257-8224 | Treasure Coast Community Health Inc 44 N Pine St Fellsmere FL 32948-5944 Ph: (772) 257-8224 |
| NPI Number | 1093266793 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093266793 | NPI | - | NPPES |
| 680005011 | Medicaid | FL | |
| 680005012 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Treasure Coast Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-213-3157 | |
Treasure Coast Community Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-213-3157 |