A Place for You Community Health Center Corp.
Organization Active NPI Community/Behavioral Health Agency · Palm Springs, FL
NPI 1801473970 · NPPES record last updated Mar 25, 2021
Key facts
- NPI
- 1801473970
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- A PLACE FOR YOU COMMUNITY HEALTH CENTER CORP.
- Practice address
- 3678 S Congress Ave Ste 2
Palm Springs, FL 33461-3700 - Phone
- (561) 292-0506
- Fax
- (516) 965-9231
- NPI assigned
- Mar 25, 2021
- Organization subpart
- No
Authorized official
- Name
- Yoniel Gonzalez
- Title
- President
- Phone
- (561) 292-0506
Practitioners 5
-
Jorge J Calle Medina, M.D.
-
Maura Duenas, M.S.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230818002657 | FL | Part B Supplier - Clinic/Group Practice | 8123480357 |
Receives reassigned benefits from 1 practitioner Practice locations: Palm Springs, FL |
National Provider Directory
Locations
3678 S Congress Ave
Ste 2
Palm Springs, FL 33461
Phone (561) 292-0506
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
3678 S Congress Ave Ste 2
Palm Springs, FL 33461-3700
Mailing address
3678 S Congress Ave Ste 2
Palm Springs, FL 33461-3700
Phone (561) 292-0506
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.