DISTRICT CLINIC HOLDINGS INC NPI 1720474075

NPI Information

NPI: 1720474075
Provider Name: DISTRICT CLINIC HOLDINGS INC

Doing Business As: C. L. BRUMBACK PRIMARY CARE CLINICS-DENTAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
39200 HOOKER HWY STE 101
BELLE GLADE, FL
ZIP 33430
Phone: (561) 642-1000
Get Directions

DISTRICT CLINIC HOLDINGS INC is a federally qualified health center (fqhc) clinic center in Belle Glade, FL. DISTRICT CLINIC HOLDINGS INC NPI is 1720474075. The provider is registered as an organization entity type.
The provider Is Doing Business As C. L. Brumback Primary Care Clinics-dental.

The provider's business location address is:

39200 HOOKER HWY STE 101
BELLE GLADE, FL
ZIP 33430-368
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 4/14/2015 and was last updated on 9/21/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		FLORIDA	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	008037115	MEDICAID	FLORIDA
2	008037114	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: 11/14/2023

NPI Synchronization or Removal

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