NPIMap

Organization Active NPI

District Clinic Holdings Inc

  • Federally Qualified Health Center (FQHC)
  • Palm Springs, FL
National Provider Identifier
1497562300
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
DISTRICT CLINIC HOLDINGS INC
Practice address
4801 S Congress Ave Ste 101
Palm Springs, FL 33461-4746
Phone
(561) 642-1000
Fax
(561) 439-4384
NPI assigned
Dec 13, 2024
Organization subpart
Yes
Parent organization
DISTRICT CLINIC HOLDINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Darcy Davis
Title
Ceo
Phone
(561) 804-5885

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

4801 S Congress Ave Ste 101
Palm Springs, FL 33461-4746

Mailing address

1515 N Flagler Dr Ste 101
West Palm Beach, FL 33401-3429
Phone (561) 659-1270

Other identifiers 1

IdentifierTypeStateIssuer
125599600MedicaidFL

Other names 1

  • Health Care District Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250404001788 FL Part A Provider - Federally Qualified Health Center (FQHC) 4486876000 Practice locations: Palm Springs, FL
O20260527002294 FL Part B Supplier - Clinic/Group Practice 4486876000 Receives reassigned benefits from 25 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Palm Beach, FL; Delray Beach, FL; Jupiter, FL; Boca Raton, FL; Belle Glade, FL; Palm Springs, FL

Federally qualified health center certification: CCN C11056

Legal name
DISTRICT CLINIC HOLDINGS INC
Doing business as
HEALTH CARE DISTRICT COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 5, 2025
Last certification
May 5, 2025
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
4801 S Congress Ave
Ste 101
Palm Springs, FL 33461-4746

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2057187Healthcare District Community Health Center4801 S Congress Ave Suite 101, Palm Springs, FL 33461Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
District Clinic Holdings Inc13 organizations share this tax ID, including this one
Part of
District Clinic Holdings Inc

Other organizations with this tax ID 12

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

Locations

225 S Congress Ave
Delray Beach, FL 33445
Phone (561) 274-3100

7405 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 370-1320

1041 45th St
#100
Mangonia Park, FL 33407

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Candice R Abbott Individual Corporate OfficerCoo Feb 12, 2025
Operational/Managerial ControlCoo Feb 12, 2025
District Clinic Holdings Inc Organization, West Palm Beach, FL Non-profit 5% Or Greater Direct Ownership Interest Feb 12, 2025 100%
Darcy Davis Individual Corporate OfficerCeo Feb 12, 2025
Operational/Managerial ControlCeo Feb 12, 2025

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CL Brumback Primary Care Clinic, LantanaLantana, FL, CCN 101184 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2014
CL Brumback Primary Care Clinic, DelrayDelray Beach, FL, CCN 101190 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2014
CL Brumback Primary Care Clinic Belle GladeBelle Glade, FL, CCN 101189 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2014
CL Brumback Primary Care Clinic, West Palm BeachWest Palm Beach, FL, CCN 101194 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2014
CL Brumback Primary Care Clinic, Lewis CenterWest Palm Beach, FL, CCN 681017 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2014
CL Brumback Primary Care Clinics, Lake WorthLake Worth, FL, CCN 681059 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 28, 2015
Jul 28, 2015
CL Brumback Primary Care Clinic, Boca RatonBoca Raton, FL, CCN 681087 Federally qualified health center Operational/Managerial Control Apr 10, 2017
District Clinic Holdings IncJupiter, FL, CCN 681088 Federally qualified health center Operational/Managerial Control Mar 6, 2017
CL Brumback Primary Care Clinic Mangonia ParkWest Palm Beach, FL, CCN 681160 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 15, 2019
Oct 15, 2019

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1497562300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013429",
            "telephone_number": "561-659-1270",
            "fax_number": "561-804-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVE STE 101",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "561-642-1000",
            "fax_number": "561-439-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT CLINIC HOLDINGS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DISTRICT CLINIC HOLDINGS INC",
        "enumeration_date": "2024-12-13",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-804-5885"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125599600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care District Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.