Community Health Centers, Inc

LBN: Community Health Centers, Inc
Community Health Centers, Inc is an health care organization with primary practice located at 1296 W Broad St , Groveland FL 34736-2012. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Community Health Centers, Inc can be contacted via phone (352) 435-6696, or through Dickinson, Mark W via phone (407) 905-8827.

Contact Information

Primary practice address
1296 W Broad St Groveland FL 34736-2012
Phone: (352) 435-6696
Fax: (844) 630-9996
Website:
Map and Directions
Authorized official contact:
Name: Dickinson, Mark W
Phone: (407) 905-8827

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X PH7505 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1295863884
LBN Legal business name Community Health Centers, Inc
DBA Doing business as
Authorized official Dickinson, Mark W
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Jul 9th, 2024 - about 5 months 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 1295863884 NPPES
Other 1040497 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 104813990 NCPDP PROVIDER IDENTIFICATION NUMBER

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