Fau Community Health Center

LBN: Florida Atlantic University
Fau Community Health Center is an health care organization with primary practice located at 1650 Osceola Drive , West Palm Beach FL 33409. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Florida Atlantic University can be contacted via phone (561) 803-8880, or through Pontiroli Kelly, Louisa via phone (561) 803-8880.

Contact Information

Primary practice address
1650 Osceola Drive West Palm Beach FL 33409
Phone: (561) 803-8880
Fax: (877) 409-1795
Website:
Map and Directions
Authorized official contact:
Name: Pontiroli Kelly, Louisa
Phone: (561) 803-8880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1093026619
LBN Legal business name Florida Atlantic University
DBA Doing business as Fau Community Health Center
Authorized official Pontiroli Kelly, Louisa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 29th, 2010
Last updated May 19th, 2024 - about 4 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 1093026619 NPPES
Florida MEDICAID 303078400
Florida Other 681903
Florida Other K3331C
Florida MEDICAID 303078411
Florida Other 002Z8
Florida Other 112255000

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