District Clinic Holdings, Inc.

LBN: District Clinic Holdings, Inc.
District Clinic Holdings, Inc. is an health care organization with primary practice located at 3505 Shiloh Dr , West Palm Beach FL 33407. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. District Clinic Holdings, Inc. can be contacted via phone (561) 242-5445, or through Davis, Darcy J via phone (561) 804-5885.

Contact Information

Primary practice address
3505 Shiloh Dr West Palm Beach FL 33407
Phone: (561) 242-5445
Fax: (561) 242-5447
Website:
Map and Directions
Authorized official contact:
Name: Davis, Darcy J
Phone: (561) 804-5885

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1164839841
LBN Legal business name District Clinic Holdings, Inc.
DBA Doing business as
Authorized official Davis, Darcy J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2014
Last updated Mar 9th, 2020 - 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 1164839841 NPPES
Florida MEDICAID 008037108
Florida MEDICAID 008037109

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