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NPI Code Detail

MEDICARE: COMMUNITY HEALTH CENTER OF PINELLAS INC

MEDICARE: COMMUNITY HEALTH CENTER OF PINELLAS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3207V00000XObstetrics & Gynecology Physician
4208000000XPediatrics Physician
5208D00000XGeneral Practice Physician
6261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811975535
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CENTER OF PINELLAS INC
Provider Business Mailing Address
First Line : PO BOX 10549
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33733-0549
Country : US
Telephone Number : 727-544-2284
Fax Number : 727-541-7984
Provider Business Practice Location Address
First Line : 7550 43RD ST N
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-3601
Country : US
Telephone Number : 727-544-2284
Fax Number : 727-541-7984
Authorized Official
Title or Position : CHIEF REGULATORY OFFICER
Name : EDWARD KUCHER
Credential :
Telephone Number : 727-824-8100
Provider Enumeration Date : 01/03/2006
Last Update Date : 10/17/2024

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1699976332 — CLIFTON CONFIDENT M.D.
Practice Location Address:
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Directions to “COMMUNITY HEALTH CENTER OF PINELLAS INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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