DISTRICT CLINIC HOLDINGS INC NPI 1427442136

NPI Information

NPI: 1427442136
Provider Name: DISTRICT CLINIC HOLDINGS INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1000 45TH ST
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 642-1000
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DISTRICT CLINIC HOLDINGS INC is a federally qualified health center (fqhc) clinic center in West Palm Beach, FL. DISTRICT CLINIC HOLDINGS INC NPI is 1427442136. The provider is registered as an organization entity type.

The provider's business location address is:

1000 45TH ST
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 642-1000

The provider's authorized official is Darcy 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 3/20/2015 and was last updated on 3/10/2020.

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	008037112	MEDICAID	FLORIDA
2	008037113	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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