Community Health Center Of Pinellas INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Pinellas Park, FL. Organization (NPI-2).
NPI number1811975535
StatusActive
Last updated in NPPESOct 17, 2024
Details
- NPI
- 1811975535
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Health Center Of Pinellas INC
- Organization subpart
- Yes
- Enumeration date
- Jan 3, 2006
- Certification date
- Oct 17, 2024
- Last updated
- Oct 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 208D00000X | General Practice | – | – |
Other names
- Evara Health (Doing Business As)
Practice location
7550 43rd St NPinellas Park, FL 33781-3601
Phone 727-544-2284 · Fax 727-541-7984
Mailing address
Po Box 10549St Petersburg, FL 33733-0549
Phone 727-544-2284 · Fax 727-541-7984
Authorized official
Edward Kucher
Chief Regulatory Officer
7278248100
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