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COMMUNITY HEALTH CENTER OF PINELLAS INC NPI 1811975535


NPI Information

NPI: 1811975535
Provider Name: COMMUNITY HEALTH CENTER OF PINELLAS INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
7550 43RD ST N
PINELLAS PARK, FL
ZIP 33781
Phone: (727) 544-2284
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COMMUNITY HEALTH CENTER OF PINELLAS INC is a federally qualified health center (fqhc) clinic center in Pinellas Park, FL. COMMUNITY HEALTH CENTER OF PINELLAS INC NPI is 1811975535. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7550 43RD ST N
PINELLAS PARK, FL
ZIP 33781-601
Phone: (727) 544-2284
Fax: (727) 541-7984

The provider's authorized official is Elodie Dorso .
The authorized official title is President Ceo and has the following contact phone number (727) 821-8100.

The enumeration date for this NPI number is 1/3/2006 and was last updated on 12/11/2019.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsNo
5261QF0400XClinic/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
1029565503MEDICAIDFLORIDA
2060638303MEDICAIDFLORIDA

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.