Port St. Lucie Children'S Health Center

LBN: Florida Community Health Centers Inc
Port St. Lucie Children'S Health Center is an health care organization with primary practice located at 1701 Se Hillmoor Dr Suite 19, Port St Lucie FL 34952-7552. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. 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) 335-8455, or through Lewis, Wilhelmina via phone (561) 844-9443.

Contact Information

Primary practice address
1701 Se Hillmoor Dr Suite 19 Port St Lucie FL 34952-7552
Phone: (772) 335-8455
Fax: (772) 335-4959
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Wilhelmina Doctor of Medicine (MD)
Phone: (561) 844-9443

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1215986872
LBN Legal business name Florida Community Health Centers Inc
DBA Doing business as Port St. Lucie Children'S Health Center
Authorized official Lewis, Wilhelmina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Jun 12th, 2020 - about 4 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 1215986872 NPPES
Florida MEDICAID 684660202
Florida MEDICAID 684660203

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