Active Community Health Center

LBN: Active Community Health Center
Active Community Health Center is an health care organization with primary practice located at 1000 N Hiatus Rd Suite 140, Pembroke Pines FL 33026-3097. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Active Community Health Center can be contacted via phone (954) 937-6306, or through Williams, Stephanie Wright via phone (954) 937-6306.

Contact Information

Primary practice address
1000 N Hiatus Rd Suite 140 Pembroke Pines FL 33026-3097
Phone: (954) 937-6306
Fax: (954) 450-2419
Website:
Map and Directions
Authorized official contact:
Name: Williams, Stephanie Wright Master of Education (MED)
Phone: (954) 937-6306

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X IMH 9898 Florida

Profile Details

NPI number 1992100952
LBN Legal business name Active Community Health Center
DBA Doing business as
Authorized official Williams, Stephanie Wright Master of Education (MED)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2014
Last updated Nov 1st, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992100952 NPPES
Florida Other IMH 9898 REGISTERED MENTAL HEALTH COUNSELOR INTERN

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