Community Health Center

LBN: Florida Atlantic University
Community Health Center is an health care organization with primary practice located at 720 8Th St , West Palm Beach FL 33401-3606. 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 / School. 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
720 8Th St West Palm Beach FL 33401-3606
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 / School 364SS0200X

Profile Details

NPI number 1376856658
LBN Legal business name Florida Atlantic University
DBA Doing business as Community Health Center
Authorized official Pontiroli Kelly, Louisa
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2010
Last updated May 19th, 2024 - about 6 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 1376856658 NPPES
Florida Other 112255004 FQHC MEDICAID
Florida Other 681903 FQHC MEDICAID
Florida Other K3331C FQHC MEDICAID

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