TAMPA FAMILY HEALTH CENTERS INC. NPI 1639560386

NPI Information

NPI: 1639560386
Provider Name: TAMPA FAMILY HEALTH CENTERS, INC.

Doing Business As: TAMPA FAMILY HEALTH CENTER DENTAL VAN

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
302 W FLETCHER AVE
TAMPA, FL
ZIP 33612
Phone: (813) 397-5305
Get Directions

TAMPA FAMILY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Tampa, FL. TAMPA FAMILY HEALTH CENTERS, INC. NPI is 1639560386. The provider is registered as an organization entity type.
The provider Is Doing Business As Tampa Family Health Center Dental Van.

The provider's business location address is:

302 W FLETCHER AVE
TAMPA, FL
ZIP 33612-415
Phone: (813) 397-5305

The provider's authorized official is Charles R. Bottoms .
The authorized official title is Ceo and has the following contact phone number (813) 866-0930.

The CLIA number assigned to this NPI record is 10D2271114 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2015 and was last updated on 2/16/2015.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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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