Central Florida Health Care, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Lake Wales, FL
NPI 1992316285 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1992316285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CENTRAL FLORIDA HEALTH CARE, INC.
- Practice address
- 225 Lincoln Ave
Lake Wales, FL 33853-3546 - Phone
- (866) 234-8534
- NPI assigned
- Aug 11, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- CENTRAL FLORIDA HEALTH CARE, INC.
Authorized official
- Name
- Ann Claussen
- Title
- Ceo
- Phone
- (863) 291-5110
Other NPIs on the same Medicare enrollment 20
Corporate family (same tax ID) 12
Practitioners 5
-
Valencia C Coffer, APRN
-
Mickelyn Graves Houghton, APRN-CNM
-
Michele Holland McLin, O.D.
-
Glenda Gail Parton, CNM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000228 | FL | Part B Supplier - Clinic/Group Practice | 0143127951 |
Receives reassigned benefits from 157 practitioners 20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lakeland, FL; Winter Haven, FL; Wauchula, FL; Mulberry, FL; Lake Wales, FL; Avon Park, FL; Davenport, FL; Dundee, FL… |
National Provider Directory
- Tax ID family
- Central Fla HLTH Care L
- Part of
- Central Fla HLTH Care L
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
225 Lincoln Ave
Lake Wales, FL 33853-3546
Mailing address
47 5TH St NW
Winter Haven, FL 33881-4672
Other providers in Lake Wales, FL
- Central Florida Health Care, Inc
- Central Florida Health Care, Inc
- Central Florida Health Care, Inc.
- Central Florida Health Care, Inc.
- Central Florida Health Care, Inc.
- Central Florida Health Systems, Inc
- Central Florida Imaging Associates, LLC
- Nekia Chadwick
- Gabriel J Chamorro
- Kristin Chandley
All providers in Lake Wales, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. 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.