Agape Community Health Center, Inc.

A Medicare group practice based in Jacksonville, FL: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 3476500695), with 28 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3476500695The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
5
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
9In 1 place

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20050331000177 FL Part B Supplier - Clinic/Group Practice 1962867762
O20170105000019 FL Part A Provider - Federally Qualified Health Center (FQHC) 1578928826
O20170131000761 FL Part A Provider - Federally Qualified Health Center (FQHC) 1245695774
O20161017000119 FL Part A Provider - Federally Qualified Health Center (FQHC) 1962867762
O20260126001207 FL Part A Provider - Federally Qualified Health Center (FQHC) 1245695774

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 28

Clinicians who reassign their Medicare benefits to this group (28) or whom Care Compare lists as members (7).

Sources for this page