Organization
DISTRICT CLINIC HOLDINGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY DAVIS (CEO)
(561) 804-5885
Entity
Organization
Contact information
Practice address
39200 HOOKER HWY STE 101, BELLE GLADE, FL 33430-5368
(561) 642-1000
Mailing address
1515 N FLAGLER DR STE 101, WEST PALM BEACH, FL 33401-3429
(561) 659-1270
(561) 833-9469
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037104
—
FL
05
—
008037105
—
FL
05
—
018943201
—
FL
Enumeration date
07/17/2012
Last updated
05/04/2021
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