Organization
DISTRICT CLINIC HOLDINGS, INC.
Active
Other names
C. L. Brumback Primary Care Clinics-St Ann
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY DAVIS (CEO)
(561) 642-1000
Entity
Organization
Contact information
Practice address
2107 N DIXIE HWY, WEST PALM BEACH, FL 33407-6011
(561) 805-7708
Mailing address
1515 N FLAGLER DR STE 101, WEST PALM BEACH, FL 33401-3429
(561) 642-1000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/20/2021
Last updated
09/21/2021
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