Organization · NPI-2

Florida Community Health Centers, INC.

Clinic/Center, Federally Qualified Health Center (FQHC) · Fort Pierce, FL

NPI number1104875095
StatusActive
Last updated in NPPESApr 25, 2019

Details

NPI
1104875095
Entity type
Organization (NPI-2)
Legal business name
Florida Community Health Centers, INC.
Organization subpart
No
Enumeration date
May 8, 2006
Last updated
Apr 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes
1223G0001X Dentist, General Practice––
207Q00000X Family Medicine––
207V00000X Obstetrics & Gynecology––
208000000X Pediatrics––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Other names

  • Fort Pierce Center (Other Name)

Practice location

1505 Delaware Ave
Fort Pierce, FL 34950-3975

Phone 772-461-1402 · Fax 772-461-9972

Mailing address

5827 Corporate Way
West Palm Beach, FL 33407-2000

Phone 561-844-9443 · Fax 561-844-1013

Authorized official

Wilhelmina Lewis
President & Ceo
5618449443

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