Organization
TREASURE COAST COMMUNITY HEALTH INC
Active
Parent organization
TREASURE COAST COMMUNITY HEALTH, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TREASURE COAST COMMUNITY HEALTH, INC.
Authorized official
VICKI SOULE (CEO)
(772) 257-8224
Entity
Organization
Contact information
Practice address
44 N PINE ST, FELLSMERE, FL 32948-5944
(772) 257-8224
(772) 213-3157
Mailing address
1555 INDIAN RIVER BLVD STE B210, VERO BEACH, FL 32960-7113
(772) 257-8224
(772) 213-3157
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680005011
—
FL
05
—
680005012
—
FL
Enumeration date
10/18/2016
Last updated
03/22/2022
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