DISTRICT CLINIC HOLDINGS INC. NPI 1164839841

NPI Information

NPI: 1164839841
Provider Name: DISTRICT CLINIC HOLDINGS, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3505 SHILOH DR
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 242-5445
Get Directions

DISTRICT CLINIC HOLDINGS, INC. is a federally qualified health center (fqhc) clinic center in West Palm Beach, FL. DISTRICT CLINIC HOLDINGS, INC. NPI is 1164839841. The provider is registered as an organization entity type.

The provider's business location address is:

3505 SHILOH DR
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 242-5445
Fax: (561) 242-5447

The provider's authorized official is Darcy J Davis .
The authorized official title is Ceo and has the following contact phone number (561) 804-5885.

The enumeration date for this NPI number is 7/15/2014 and was last updated on 3/9/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	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	Other Provider Identifier Issuer
1	008037109	MEDICAID	FLORIDA
2	008037108	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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