DISTRICT CLINIC HOLDINGS INC (NPI# 1720474075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720474075 |
| Entity Type | Organization |
| Organization Name | DISTRICT CLINIC HOLDINGS INC |
| Practice Address |
38754 State Rd 80 Belle Glade FL 33430 |
| Mailing Address |
1515 N Flagler Dr Ste 101 West Palm Beach FL 33401-3429 |
| Practice Telephone | 5616421000 |
| Practice Fax Number | 5618023976 |
| Mailing Telephone | 5616591270 |
| Mailing Fax Number | 5618023976 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | DARCY DAVIS (CEO) |
| Authorized Official Telephone | 5618045885 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008037114 | 05 | |
| FL | 008037115 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 39200 Hooker Hwy Ste 101, Belle Glade, FL 334305368 | 5616421000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155200 | District Clinic Holdings Inc | Clinic/Center | 2151 N. 45th St Ste 204, West Palm Beach, FL 33407-2009 | 2018-12-10 |
| 1427593896 | District Clinic Holdings Inc | Clinic/Center | 411 W Indiantown Rd, Jupiter, FL 33458 | 2016-12-21 |
| 1225573694 | District Clinic Holdings Inc | Clinic/Center | 23123 State Road 7, Suite 108, Boca Raton, FL 33428 | 2016-12-21 |
| 1184004590 | District Clinic Holdings Inc | Clinic/Center | 7408 Lake Worth Rd, Lake Worth, FL 33467 | 2015-06-02 |
| 1427442136 | District Clinic Holdings Inc | Clinic/Center | 1000 45th St, West Palm Beach, FL 33407 | 2015-03-20 |
| 1376934521 | District Clinic Holdings Inc | Clinic/Center | 1041 45th St, Suite 100, West Palm Beach, FL 33407 | 2015-02-10 |
| 1477890267 | District Clinic Holdings Inc | Clinic/Center | 225 S Congress Ave, Delray Beach, FL 33445 | 2013-01-14 |
| 1720325517 | District Clinic Holdings Inc | Clinic/Center | 1250 Southwinds Dr, Lantana, FL 33462 | 2013-01-14 |
| 1679810469 | District Clinic Holdings Inc | Clinic/Center | 1150 45th St, West Palm Beach, FL 33407 | 2013-01-14 |
| 1124373113 | District Clinic Holdings Inc | Clinic/Center | 941 Se 1st St, Belle Glade, FL 33430 | 2012-07-17 |
| Street Address |
38754 STATE RD 80 |
| City | BELLE GLADE |
| State | FL |
| Zip Code | 33430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780934299 | Keyon Lamar Hodges | Driver | 636 Southeast 1st, Belle Glade, FL 33430 | 2012-09-12 |
| 1831481480 | Maria E Pearson | Registered Nurse | 5701 Shingle Creek Parkway, Suite 200, Minneapolis, MN 33430 | 2011-05-13 |
| 1356632145 | Reflections of Jupiter LLC | Clinic/Center | 306 Sw10 Th Street, Belle Glade, FL 33430 | 2011-04-27 |
| 1417289943 | Positive Black Investors of Properties,inc | Community Based Residential Treatment Facility, Mental Illness | 20 Poinana Drive, Apt.@20, Belle Glade, FL 33430 | 2010-02-09 |
| 1275789414 | Lakeshore Anesthesia, Inc. | Anesthesiology | 39200 Hooker Highway, Belle Glade, FL 33430 | 2008-08-07 |
| 1598824435 | Florida Rehabilitation Services | Physical Therapist | 1100 S Main Street, Suite 13, Belle Glade, FL 33430 | 2006-12-06 |
| 1508951922 | National Medical Care, Inc. | Clinic/Center | 933 S.e. 1st Street, Belle Glade, FL 33430 | 2006-10-03 |
| 1124123492 | Belle Glade Discount Pharmacy | Pharmacy | 1508 Sw Ave E, Belle Glade, FL 33430 | 2006-09-13 |
| 1699756312 | Rahat Abbas | Internal Medicine | 349 Nw 16th St, Suite 104, Belle Glade, FL 33430 | 2005-11-09 |
| 1801885413 | District Hospital Holdings Inc | General Acute Care Hospital | 39200 Hooker Hwy, Belle Glade, FL 33430 | 2005-10-17 |
| Find all providers in zip 33430 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
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| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | BELLE GLADE |
| Zip Code | 33430 |
Please comment or provide details below to improve the information on DISTRICT CLINIC HOLDINGS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.