| Community Health Center At Oldsmar | |
|
3860 Tampa Rd Ste C Oldsmar FL 34677-3022 | |
| (727) 824-8181 | |
| Not Available |
| Full Name | Community Health Center At Oldsmar |
|---|---|
| Speciality | Clinic/Center |
| Location | 3860 Tampa Rd Ste C, Oldsmar, Florida |
| Authorized Official Name and Position | Elodie Dorso (CEO) |
| Authorized Official Contact | 7278248100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center At Oldsmar Po Box 10549 St Petersburg FL 33733-0549 Ph: (727) 824-8181 | Community Health Center At Oldsmar 3860 Tampa Rd Ste C Oldsmar FL 34677-3022 Ph: (727) 824-8181 |
| NPI Number | 1194282756 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 8527961028 |
|---|---|
| Medicare Enrollment ID | O20190516000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194282756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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