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COMMUNITY HEALTH CENTERS INC NPI 1295863884


NPI Information

NPI: 1295863884
Provider Name: COMMUNITY HEALTH CENTERS, INC
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1296 W BROAD ST
GROVELAND, FL
ZIP 34736
Phone: (352) 435-6696
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COMMUNITY HEALTH CENTERS, INC is a clinic pharmacy pharmacy in Groveland, FL. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. COMMUNITY HEALTH CENTERS, INC NPI is 1295863884. The provider is registered as an organization entity type.

The provider's business location address is:

1296 W BROAD ST
GROVELAND, FL
ZIP 34736-012
Phone: (352) 435-6696
Fax: (844) 630-9996

The provider's authorized official is Mark W Dickinson .
The authorized official title is Cfo and has the following contact phone number (407) 905-8827.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 10/6/2020.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336M0002XPharmacyMail Order PharmacyNo
43336C0002XPharmacyClinic PharmacyPH7505FLORIDAYes

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
1104813990MEDICAIDFLORIDA
21040497OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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

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