| Community Health Center Of Pinellas Inc | |
|
1721 Main St Dunedin FL 34698-6402 | |
| (727) 824-8181 | |
| Not Available |
| Full Name | Community Health Center Of Pinellas Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1721 Main St, Dunedin, Florida |
| Authorized Official Name and Position | Elodie Dorso (PRESIDENT 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 Po Box 10549 St Petersburg FL 33733-0549 Ph: (727) 824-8181 | Community Health Center Of Pinellas Inc 1721 Main St Dunedin FL 34698-6402 Ph: (727) 824-8181 |
| NPI Number | 1427438043 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 12/11/2019 |
| Medicare PECOS PAC ID | 8527961028 |
|---|---|
| Medicare Enrollment ID | O20151105001020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427438043 | NPI | - | NPPES |
| 029565523 | Medicaid | FL | |
| 029565524 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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