Treasure Coast Community Health Inc | |
12196 County Road 512 Fellsmere FL 32948-5463 | |
(772) 257-8224 | |
(772) 213-3157 |
Full Name | Treasure Coast Community Health Inc |
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Speciality | Clinic/Center |
Location | 12196 County Road 512, Fellsmere, Florida |
Authorized Official Name and Position | Vicki Soule (CEO) |
Authorized Official Contact | 7722578224 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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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 12196 County Road 512 Fellsmere FL 32948-5463 Ph: (772) 257-8224 |
NPI Number | 1891740916 |
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Provider Enumeration Date | 05/24/2006 |
Last Update Date | 03/22/2022 |
Medicare PECOS PAC ID | 4082625827 |
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Medicare Enrollment ID | O20080522000045 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891740916 | NPI | - | NPPES |
680005000 | 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: 44 N Pine St, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-213-3157 | |
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 |