Community Health Center At St Petersburg
LBN: Community Health Center Of Pinellas Inc
Community Health Center At St Petersburg is an health care organization with primary practice located at 612 Dr Martin L King St N , St Petersburg FL 33705. 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.
Community Health Center Of Pinellas Inc can be contacted via phone (727) 824-8181, or through Dorso, Elodie via phone (727) 824-8100.
Contact Information
Primary practice address
612 Dr Martin L King St N
St Petersburg FL 33705
Phone: (727) 824-8181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1437550084 |
|---|---|
| LBN Legal business name | Community Health Center Of Pinellas Inc |
| DBA Doing business as | Community Health Center At St Petersburg |
| Authorized official | Dorso, Elodie |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 12th, 2014 |
| Last updated | Dec 11th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437550084 | NPPES |
| Florida | MEDICAID | 029565521 | |
| Florida | MEDICAID | 029565522 |
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