Organization
COMMUNITY HEALTH CENTER OF PINELLAS INC
Active
Parent organization
COMMUNITY HEALTH CENTER OF PINELLAS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTER OF PINELLAS INC
Authorized official
ELODIE DORSO (CEO)
(727) 824-8100
Entity
Organization
Contact information
Practice address
1344 22ND ST S, ST PETERSBURG, FL 33712-2744
(727) 824-8126
(727) 824-8166
Mailing address
PO BOX 10549, ST PETERSBURG, FL 33733-0549
(727) 824-8126
(727) 824-8166
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029565500
—
FL
05
—
029565501
—
FL
05
—
029565503
—
FL
05
—
029565512
—
FL
05
—
029565513
—
FL
05
—
029565514
—
FL
05
—
029565515
—
FL
05
—
029565516
—
FL
05
—
029565517
—
FL
05
—
029565519
—
FL
05
—
029565521
—
FL
05
—
029565522
—
FL
05
—
060638300
—
FL
05
—
060638301
—
FL
05
—
060638303
—
FL
05
—
060638308
—
FL
05
—
060638309
—
FL
Enumeration date
07/05/2006
Last updated
12/11/2019
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