Organization Active NPI

Palm Beach Center of Health, Inc.

  • Community Health Clinic/Center
  • Riviera Beach, FL
National Provider Identifier
1942483334
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
HCC6147 Issued in FL
Legal business name
PALM BEACH CENTER OF HEALTH, INC.
Practice address
1361 Avenue E Ste C
Riviera Beach, FL 33404-6811
Phone
(561) 662-4647
NPI assigned
Dec 10, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Mrs. Ceretha Mae Thomas-Marshall, ARNP
Title
Executive Director
Phone
(561) 662-4647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X HCC6147 FL Primary

Addresses

Primary practice location

1361 Avenue E Ste C
Riviera Beach, FL 33404-6811

Mailing address

PO Box 10658
Riviera Beach, FL 33419-0658
Phone (561) 662-4647

National Provider Directory

National Provider Directory

Locations

1361 Avenue E
Ste C
Riviera Beach, FL 33404
Phone (561) 662-4647

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1942483334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10658",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334190658",
            "telephone_number": "561-662-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 AVENUE E STE C",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046811",
            "telephone_number": "561-662-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH CENTER OF HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS-MARSHALL",
        "authorized_official_first_name": "CERETHA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-662-4647",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "HCC6147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.