NPIMap

Organization Active NPI

Melbourne Community Health Center

  • Primary Care Clinic/Center
  • Melbourne, FL
National Provider Identifier
1437303385
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MELBOURNE COMMUNITY HEALTH CENTER
Practice address
15 E Hibiscus Blvd
Melbourne, FL 32901-3101
Phone
(321) 728-0000
Fax
(321) 728-0004
NPI assigned
Nov 5, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Dr. F Radfar, PHD
Title
Officer
Phone
(321) 728-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

15 E Hibiscus Blvd
Melbourne, FL 32901-3101

Mailing address

PO Box 373040
Satellite Beach, FL 32937-1040
Phone (321) 728-0000

National Provider Directory

National Provider Directory
Tax ID family
CCHC Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1437303385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373040",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329371040",
            "telephone_number": "321-728-0000",
            "fax_number": "321-728-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013101",
            "telephone_number": "321-728-0000",
            "fax_number": "321-728-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELBOURNE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "RADFAR",
        "authorized_official_first_name": "F",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "321-728-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.