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FLORIDA COMMUNITY HEALTH CENTERS INC NPI 1124078571


NPI Information

NPI: 1124078571
Provider Name: FLORIDA COMMUNITY HEALTH CENTERS INC

Other Name: CLEWISTON CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
315 S W C OWEN AVE
CLEWISTON, FL
ZIP 33440
Phone: (863) 983-7813
Get Directions

FLORIDA COMMUNITY HEALTH CENTERS INC is a family medicine in Clewiston, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FLORIDA COMMUNITY HEALTH CENTERS INC NPI is 1124078571. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Clewiston Center.

The provider's business location address is:

315 S W C OWEN AVE
CLEWISTON, FL
ZIP 33440-637
Phone: (863) 983-7813
Fax: (863) 983-9604

The provider's authorized official is Michael F Gervasi .
The authorized official title is President & Ceo and has the following contact phone number (561) 844-9443.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 6/17/2016.


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
11223G0001XDentistGeneral PracticeNo
2208000000XPediatricsNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
4207Q00000XFamily MedicineYes

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
1101854MEDICARE OSCAR/CERTIFICATIONFLORIDA
2029574402MEDICAIDFLORIDA
3060151900MEDICAIDFLORIDA
400589AMEDICARE PINFLORIDA

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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