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TAMPA FAMILY HEALTH CENTERS INC NPI 1356347413


NPI Information

NPI: 1356347413
Provider Name: TAMPA FAMILY HEALTH CENTERS INC

Former Legal Business Name: TAMPA COMMUNITY HEALTH CENTERS INC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3901 S WEST SHORE BLVD
TAMPA, FL
ZIP 33611
Phone: (813) 866-0930
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TAMPA FAMILY HEALTH CENTERS INC is a federally qualified health center (fqhc) clinic center in Tampa, FL. TAMPA FAMILY HEALTH CENTERS INC NPI is 1356347413. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Tampa Community Health Centers Inc.

The provider's business location address is:

3901 S WEST SHORE BLVD
TAMPA, FL
ZIP 33611-003
Phone: (813) 866-0930
Fax: (813) 866-0929

The provider's authorized official is Charles R Bottoms .
The authorized official title is President/ceo and has the following contact phone number (813) 866-0930.

The enumeration date for this NPI number is 6/23/2005 and was last updated on 11/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)N/AFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1062781000OTHERFLORIDAMEDICAID FEE FOR SERVICE
297274OTHERFLORIDAMEDICARE PTAN
3029548500MEDICAIDFLORIDA
4101852MEDICARE OSCAR/CERTIFICATIONFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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