Active Community Health Center Corp

LBN: Active Community Health Center Corp
Active Community Health Center Corp is an health care organization with primary practice located at 6830 Pines Blvd , Pembroke Pines FL 33024-7545. 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 Corp can be contacted via phone (954) 333-8787, or through Uriarte, Pablo via phone (954) 394-3095.

Contact Information

Primary practice address
6830 Pines Blvd Pembroke Pines FL 33024-7545
Phone: (954) 333-8787
Fax: (954) 333-8621
Website:
Map and Directions
Authorized official contact:
Name: Uriarte, Pablo Licensed Clinical Social Worker (LCSW)
Phone: (954) 394-3095

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1245801091
LBN Legal business name Active Community Health Center Corp
DBA Doing business as
Authorized official Uriarte, Pablo Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 2nd, 2021
Last updated Jul 19th, 2021 - about 3 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 1245801091 NPPES
Florida MEDICAID 008779301

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