AGAPE COMMUNITY HEALTH CENTER INC. NPI 1053088724

NPI Information

NPI: 1053088724
Provider Name: AGAPE COMMUNITY HEALTH CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
6024 MERRILL RD
JACKSONVILLE, FL
ZIP 32277
Phone: (904) 760-4904
Get Directions

AGAPE COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Jacksonville, FL. AGAPE COMMUNITY HEALTH CENTER, INC. NPI is 1053088724. The provider is registered as an organization entity type.

The provider's business location address is:

6024 MERRILL RD
JACKSONVILLE, FL
ZIP 32277-427
Phone: (904) 760-4904
Fax: (904) 743-7436

The provider's authorized official is Jillian Schellhammer .
The authorized official title is Credentialing Specialist and has the following contact phone number (904) 800-6347.

The enumeration date for this NPI number is 8/30/2021 and was last updated on 8/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	017234423	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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