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NPI Code Detail

MEDICARE: COMMUNITY HEALTH CENTERS, INC.

MEDICARE: COMMUNITY HEALTH CENTERS, 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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1497424550
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CENTERS, INC.
Provider Business Mailing Address
First Line : 110 S WOODLAND ST
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3546
Country : US
Telephone Number : 407-905-8827
Fax Number :
Provider Business Practice Location Address
First Line : 19108 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32820-3701
Country : US
Telephone Number : 407-905-8827
Fax Number : 321-221-2043
Authorized Official
Title or Position : CFO
Name : MARK W DICKINSON
Credential :
Telephone Number : 407-905-8827
Provider Enumeration Date : 09/10/2021
Last Update Date : 09/10/2021

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Directions to “COMMUNITY HEALTH CENTERS, INC. ” Practice Location

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