| Health Care Center For The Homeless, Inc. | |
|
150 W Michigan St Orlando FL 32806-4463 | |
| (407) 203-6856 | |
| (407) 203-6859 |
| Full Name | Health Care Center For The Homeless, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 150 W Michigan St, Orlando, Florida |
| Authorized Official Name and Position | Bakari F. Burns (CEO) |
| Authorized Official Contact | 4074285751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Care Center For The Homeless, Inc. 232 N Orange Blossom Trl Orlando FL 32805-1612 Ph: (407) 428-5751 | Health Care Center For The Homeless, Inc. 150 W Michigan St Orlando FL 32806-4463 Ph: (407) 203-6856 |
| NPI Number | 1265773592 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 08/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265773592 | NPI | - | NPPES |
| 687429104 | Medicaid | FL | |
| 687429105 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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