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NPI Code Detail

MEDICARE: DISTRICT CLINIC HOLDINGS INC

MEDICARE: DISTRICT CLINIC HOLDINGS 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QF0400XFederally 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

General Provider Information

NPI Number : 1497562300
Entity Type Code : Organization
Provider Name (Legal Business Name) : DISTRICT CLINIC HOLDINGS INC
Provider Business Mailing Address
First Line : 1515 N FLAGLER DR STE 101
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-3429
Country : US
Telephone Number : 561-659-1270
Fax Number : 561-804-5629
Provider Business Practice Location Address
First Line : 4801 S CONGRESS AVE STE 101
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-4746
Country : US
Telephone Number : 561-642-1000
Fax Number : 561-439-4384
Authorized Official
Title or Position : CEO
Name : DARCY DAVIS
Credential :
Telephone Number : 561-804-5885
Provider Enumeration Date : 12/13/2024
Last Update Date : 11/19/2025

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Directions to “DISTRICT CLINIC HOLDINGS INC ” Practice Location

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