Community Health Center of West Palm Beach, Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

5130 Issued in FL

Legal business name

COMMUNITY HEALTH CENTER OF WEST PALM BEACH, INC

Practice address

2100 West 45TH Street
Suite a-8 & a-9
West Palm Beach, FL 33407-2063

Phone

(561) 840-8681

Fax

(561) 844-0764

NPI assigned

Jul 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George J Papadimitrial

Title

Executive Director/President

Phone

(561) 840-8681

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1285899682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEST 45TH STREET",
            "address_2": "SUITE A-8 & A-9",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072063",
            "telephone_number": "561-840-8681",
            "fax_number": "561-844-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEST 45TH STREET",
            "address_2": "SUITE A-8 & A-9",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072063",
            "telephone_number": "561-840-8681",
            "fax_number": "561-844-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF WEST PALM BEACH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "PAPADIMITRIAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "561-840-8681",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "5130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.