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
1000 45TH ST, WEST PALM BEACH, FL 33407
(561) 642-1000
Mailing address
1515 N FLAGLER DR STE 101, WEST PALM BEACH, FL 33401-3429
(561) 659-1270
(561) 802-3976
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
—
008037112
—
FL
05
—
008037113
—
FL
Enumeration date
03/20/2015
Last updated
03/10/2020
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