# ACV COMMUNITY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Copeland Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174630693
- **Authorized official:** CRAIG A. CARTER (PRESIDENT/CEO)
- **Authorized official phone:** (386) 658-5500

## Contact information

- **Practice address:** 10820 MARVIN E. JONES BLVD., LIVE OAK, FL 32060-5890
- **Practice address phone:** (386) 658-5550
- **Practice address fax:** (386) 658-5666
- **Mailing address:** PO BOX 4675, DOWLING PARK, FL 32064-1507
- **Mailing address phone:** (386) 658-5450
- **Mailing address fax:** (386) 658-5111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 10/06/2008