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Organization
COMMUNITY HEALTH CENTER OF PINELLAS INC
Active
Organization
COMMUNITY HEALTH CENTER OF PINELLAS INC
Active
Parent organization
COMMUNITY HEALTH CENTER OF PINELLAS INC
Other names
Community Health Center Clearwater Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTER OF PINELLAS INC
Authorized official
EDWARD KUCHER (CHIEF REGULATORY OFFICER)
(727) 824-8100
Entity
Organization
Contact information
Practice address
702 JASMINE WAY, CLEARWATER, FL 33756-3951
(727) 824-8181
Mailing address
PO BOX 10549, ST PETERSBURG, FL 33733-0549
(727) 824-8181
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029565519
—
FL
05
—
029565520
—
FL
Enumeration date
02/20/2014
Last updated
10/17/2024
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