COMMUNITY HEALTH CENTERS INC NPI 1255415535

NPI Information

NPI: 1255415535
Provider Name: COMMUNITY HEALTH CENTERS, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D0993225

Address:
1296 W BROAD ST
GROVELAND, FL
ZIP 34736
Phone: (407) 905-8827
Get Directions

COMMUNITY HEALTH CENTERS, INC is a primary care clinic center in Groveland, FL. COMMUNITY HEALTH CENTERS, INC NPI is 1255415535. The provider is registered as an organization entity type.

The provider's business location address is:

1296 W BROAD ST
GROVELAND, FL
ZIP 34736-012
Phone: (407) 905-8827
Fax: (352) 429-5606

The provider's authorized official is Margaret Brennan .
The authorized official title is President/ceo and has the following contact phone number (407) 905-8827.

The CLIA number assigned to this NPI record is 10D0993225 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/24/2006 and was last updated on 2/5/2018.

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	261QP2300X	Clinic/Center	Primary Care			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	029545105	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: 5/5/2024

NPI Synchronization or Removal

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