| Treasure Coast Community Health Inc | |
|
13505 Us Highway 1 Sebastian FL 32958-3759 | |
| (772) 257-8224 | |
| (772) 213-3157 |
| Full Name | Treasure Coast Community Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13505 Us Highway 1, Sebastian, 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 |
|---|---|
| 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 13505 Us Highway 1 Sebastian FL 32958-3759 Ph: (772) 257-8224 |
| NPI Number | 1194274720 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 03/22/2022 |
| Medicare PECOS PAC ID | 4082625827 |
|---|---|
| Medicare Enrollment ID | O20161219002803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194274720 | NPI | - | NPPES |
| 680005015 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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