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Organization

TAMPA FAMILY HEALTH CENTERS INC

Active
Other names
Tampa Community Health Centers Inc
Organization subpart
No

Provider details

NPI number
Authorized official
SHERRY R HOBACK (PRESIDENT/CEO)
(813) 397-5300
Entity
Organization

Contact information

Practice address
4620 N 22ND ST, TAMPA, FL 33610-6205
(813) 272-6240
(813) 866-0929
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 866-0929

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
N/A
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029548504
FL
01
062781002
MEDICAID FEE FOR SERVICE
FL
Enumeration date
06/21/2005
Last updated
04/14/2023
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