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
1344 22ND ST S, ST PETERSBURG, FL 33712-2744
(727) 821-6701
(727) 823-7429
Mailing address
PO BOX 10549, ST PETERSBURG, FL 33733-0549
(727) 824-8126
(727) 824-8166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029565500
—
FL
05
—
060638300
—
FL
Enumeration date
01/03/2006
Last updated
10/17/2024
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