Fort Pierce Center

LBN: Florida Community Health Centers, Inc.
Fort Pierce Center is an health care organization with primary practice located at 1505 Delaware Ave , Fort Pierce FL 34950-3975. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / General Practice, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, 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. Florida Community Health Centers, Inc. can be contacted via phone (772) 461-1402, or through Lewis, Wilhelmina via phone (561) 844-9443.

Contact Information

Primary practice address
1505 Delaware Ave Fort Pierce FL 34950-3975
Phone: (772) 461-1402
Fax: (772) 461-9972
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Wilhelmina Doctor of Medicine (MD)
Phone: (561) 844-9443

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
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 1104875095
LBN Legal business name Florida Community Health Centers, Inc.
DBA Doing business as Fort Pierce Center
Authorized official Lewis, Wilhelmina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Apr 25th, 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 1104875095 NPPES
Florida MEDICAID 060512300
Florida MEDICAID 029574404

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