| Community Health Center Of Pinellas Inc. | |
|
5523 Roosevelt Blvd Clearwater FL 33760-3425 | |
| (727) 824-8181 | |
| Not Available |
| Full Name | Community Health Center Of Pinellas Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5523 Roosevelt Blvd, Clearwater, 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 Of Pinellas Inc. 14100 58th St N Clearwater FL 33760-9900 Ph: (727) 824-8181 | Community Health Center Of Pinellas Inc. 5523 Roosevelt Blvd Clearwater FL 33760-3425 Ph: (727) 824-8181 |
| NPI Number | 1114612777 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Medicare PECOS PAC ID | 8527961028 |
|---|---|
| Medicare Enrollment ID | O20231121002042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114612777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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