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
721 EAST LIME STREET, TARPON SPRINGS, FL 34689
(727) 824-8181
Mailing address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029565532
—
FL
Enumeration date
11/16/2020
Last updated
10/17/2024
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