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Organization

COMMUNITY HEALTH CENTER OF PINELLAS INC

Active
Parent organization
COMMUNITY HEALTH CENTER OF PINELLAS INC
Other names
Evara Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY HEALTH CENTER OF PINELLAS INC
Authorized official
EDWARD KUCHER (CHIEF REGULATORY OFFICER)
(727) 824-8100
Entity
Organization

Contact information

Practice address
4950 34TH ST N, ST PETERSBURG, FL 33714-3031
(727) 824-8181
Mailing address
PO BOX 10549, ST PETERSBURG, FL 33733-0549
(727) 824-8181

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029565525
FL
Enumeration date
01/11/2018
Last updated
10/17/2024
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