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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
1261QF0400XFederally 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 : 1881783124
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 : 352-360-0762
Provider Business Practice Location Address
First Line : 225 N 1ST ST
Second Line :
City : LEESBURG
State : FL
Zip : 34748-5150
Country : US
Telephone Number : 407-905-8827
Fax Number : 352-360-2389
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MARGARET BRENNAN
Credential :
Telephone Number : 407-905-8827
Provider Enumeration Date : 10/12/2006
Last Update Date : 02/05/2018

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Directions to “COMMUNITY HEALTH CENTERS, INC ” Practice Location

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