Community Health Center At Lealman

LBN: Community Health Center Of Pinellas Inc
Community Health Center At Lealman is an health care organization with primary practice located at 4950 34Th St N , St Petersburg FL 33714-3031. 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
4950 34Th St N St Petersburg FL 33714-3031
Phone: (727) 824-8181
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dorso, Elodie
Phone: (727) 824-8100

Health care specialties

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

Profile Details

NPI number 1609384700
LBN Legal business name Community Health Center Of Pinellas Inc
DBA Doing business as Community Health Center At Lealman
Authorized official Dorso, Elodie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 11th, 2018
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609384700 NPPES
Florida MEDICAID 029565525

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