| Beaches Community Healthcare | |
|
850 6th Ave S Ste 500 Jacksonville Beach FL 32250-4200 | |
| (904) 224-3550 | |
| Not Available |
| Full Name | Beaches Community Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 6th Ave S Ste 500, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Kathleen Patneau (HEALTH SERVICES ADMINISTRATOR) |
| Authorized Official Contact | 9043948056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaches Community Healthcare 611 E Adams St Jacksonville FL 32202-2847 Ph: () - | Beaches Community Healthcare 850 6th Ave S Ste 500 Jacksonville Beach FL 32250-4200 Ph: (904) 224-3550 |
| NPI Number | 1326312315 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 11/19/2012 |
| Medicare PECOS PAC ID | 2860652641 |
|---|---|
| Medicare Enrollment ID | O20121130000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326312315 | NPI | - | NPPES |
| 686032002 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 686032002 (Florida) | Primary |
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