District Clinic Holdings, Inc.
LBN: District Clinic Holdings, Inc.
District Clinic Holdings, Inc. is an health care organization with primary practice located at 3505 Shiloh Dr , West Palm Beach FL 33407. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
District Clinic Holdings, Inc. can be contacted via phone (561) 242-5445, or through Davis, Darcy J via phone (561) 804-5885.
Contact Information
Primary practice address
3505 Shiloh Dr
West Palm Beach FL 33407
Phone: (561) 242-5445
Fax: (561) 242-5447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1164839841 |
|---|---|
| LBN Legal business name | District Clinic Holdings, Inc. |
| DBA Doing business as | |
| Authorized official | Davis, Darcy J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2014 |
| Last updated | Mar 9th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164839841 | NPPES |
| Florida | MEDICAID | 008037108 | |
| Florida | MEDICAID | 008037109 |
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