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WHOLE FAMILY HEALTH CENTER INC. NPI 1578612883


NPI Information

NPI: 1578612883
Provider Name: WHOLE FAMILY HEALTH CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 10D1022147

Address:
725 N US HIGHWAY 1
FORT PIERCE, FL
ZIP 34950
Phone: (772) 468-9900
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WHOLE FAMILY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Fort Pierce, FL. WHOLE FAMILY HEALTH CENTER, INC. NPI is 1578612883. The provider is registered as an organization entity type.

The provider's business location address is:

725 N US HIGHWAY 1
FORT PIERCE, FL
ZIP 34950
Phone: (772) 468-9900
Fax: (772) 468-2364

The provider's authorized official is Marie Andress .
The authorized official title is Chief Executive Officer and has the following contact phone number (772) 925-8200.

The CLIA number assigned to this NPI record is 10D1022147 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/21/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1022558500MEDICAIDFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.