DISTRICT CLINIC HOLDINGS INC NPI 1780155200

NPI Information

NPI: 1780155200
Provider Name: DISTRICT CLINIC HOLDINGS INC

Doing Business As: CL BRUMBACK PRIMARY CARE CLINIC, MANGONIA PARK

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2051 45TH ST STE 300
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 1780155200. The provider is registered as an organization entity type.
The provider Is Doing Business As Cl Brumback Primary Care Clinic, Mangonia Park.

The provider's business location address is:

2051 45TH ST STE 300
WEST PALM BEACH, FL
ZIP 33407-031
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 12/10/2018 and was last updated on 4/18/2023.

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

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

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