Organization · Type 2 NPI

Community Health Center of Pinellas Inc

Federally Qualified Health Center (FQHC) · St. Petersburg, FL

NPI number 1609384700 Active

Practice location

4950 34th St N
St. Petersburg, FL 33714-3031

Call (727) 824-8181 Map

Mailing address

PO Box 10549
St. Petersburg, FL 33733-0549

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

4 other providers at this address

Isabela Torregrosa, PA-CMedical Physician Assistant St. Petersburg, FL NPI 1376373928
Joshua Colvin, DDSGeneral Practice Dentistry St. Petersburg, FL NPI 1447806484
Teresa E. Peak, PA-CMedical Physician Assistant St. Petersburg, FL NPI 1942679683
Yim F. Lam, MDPediatrics Physician St. Petersburg, FL NPI 1457363525

Other federally qualified health center (fqhc) providers in St. Petersburg

See all in St. Petersburg →

NPI record

NPI: 1609384700
Entity type: Organization (Type 2)
Issued: Jan 11, 2018
Last updated: Oct 17, 2024
Status: Active
Subpart: Yes of Community Health Center of Pinellas Inc

Other names

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Evara Health · doing business as

Authorized official

Edward Kucher
Chief Regulatory Officer
(727) 824-8100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609384700

Community Health Center of Pinellas Inc's National Provider Identifier is 1609384700, issued on Jan 11, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 17, 2024.