Beaches Community Healthcare

LBN: Im Sulzbacher Center For The Homeless Inc
Beaches Community Healthcare is an health care organization with primary practice located at 850 6Th Ave S Ste 500 , Jacksonville Beach FL 32250-4200. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Im Sulzbacher Center For The Homeless Inc can be contacted via phone (904) 224-3550, or through Patneau, Kathleen via phone (904) 394-8056.

Contact Information

Primary practice address
850 6Th Ave S Ste 500 Jacksonville Beach FL 32250-4200
Phone: (904) 224-3550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patneau, Kathleen
Phone: (904) 394-8056

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 686032002 Florida

Profile Details

NPI number 1326312315
LBN Legal business name Im Sulzbacher Center For The Homeless Inc
DBA Doing business as Beaches Community Healthcare
Authorized official Patneau, Kathleen
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 8th, 2012
Last updated Nov 19th, 2012 - about 12 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 1326312315 NPPES
Florida MEDICAID 686032002

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