Agape Community Health Center, Inc.

LBN: Agape Community Health Center, Inc.
Agape Community Health Center, Inc. is an health care organization with primary practice located at 6024 Merrill Rd , Jacksonville FL 32277-3427. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Agape Community Health Center, Inc. can be contacted via phone (904) 760-4904, or through Schellhammer, Jillian via phone (904) 800-6347.

Contact Information

Primary practice address
6024 Merrill Rd Jacksonville FL 32277-3427
Phone: (904) 760-4904
Fax: (904) 743-7436
Website:
Map and Directions
Authorized official contact:
Name: Schellhammer, Jillian
Phone: (904) 800-6347

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1053088724
LBN Legal business name Agape Community Health Center, Inc.
DBA Doing business as
Authorized official Schellhammer, Jillian
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2021
Last updated Aug 30th, 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 1053088724 NPPES
Florida MEDICAID 017234423

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