Organization
CAN COMMUNITY HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISHI B PATEL (PRESIDENT & CEO)
(941) 300-4440
Entity
Organization
Contact information
Practice address
8390 N PALAFOX ST, PENSACOLA, FL 32534-3735
(850) 988-5245
(877) 266-7170
Mailing address
PO BOX 1000 DEPT 394, MEMPHIS, TN 38148-1926
(941) 300-4440
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057256039
—
FL
01
—
21725
FL BCB GROUP #
FL
Enumeration date
06/07/2021
Last updated
01/30/2024
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