CENTERPLACE HEALTH INC NPI 1104316272

NPI Information

NPI: 1104316272
Provider Name: CENTERPLACE HEALTH, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 10D2153554

Address:
2200 RINGLING BLVD
SARASOTA, FL
ZIP 34237
Phone: (941) 529-0200
Get Directions

CENTERPLACE HEALTH, INC is a federally qualified health center (fqhc) clinic center in Sarasota, FL. CENTERPLACE HEALTH, INC NPI is 1104316272. The provider is registered as an organization entity type.

The provider's business location address is:

2200 RINGLING BLVD
SARASOTA, FL
ZIP 34237-102
Phone: (941) 529-0200

The provider's authorized official is Melissa Parker .
The authorized official title is Ceo and has the following contact phone number (941) 529-0200.

The CLIA number assigned to this NPI record is 10D2153554 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2018 and was last updated on 2/24/2021.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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
1	025148201	MEDICAID	FLORIDA
2	025148203	MEDICAID	FLORIDA
3	025148204	MEDICAID	FLORIDA
4	025148202	MEDICAID	FLORIDA
5	025148200	MEDICAID	FLORIDA
6	025148205	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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