AGAPE COMMUNITY HEALTH CENTER, INC.


Address: 3160 Edgewood Ave W, Jacksonville, FL 32209-2245
Phone: 9047604904

AGAPE COMMUNITY HEALTH CENTER, INC. (NPI# 1972968402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972968402
Entity Type Organization
Organization Name AGAPE COMMUNITY HEALTH CENTER, INC.
Other Organization Name AGAPE COMMUNITY HEALTH CENTER, INC. - NW JAX
Practice Address 3160 Edgewood Ave W
Jacksonville
FL 32209-2245
Practice Telephone 9047604904
Mailing Telephone 9047604904
Mailing Fax Number 9047604657
Enumeration Date 2015-12-29
Last Update Date 2016-12-27
Authorized Official Name MS. MIA L JONES (CEO)
Authorized Official Telephone 9047604904
Is Organization Subpart Y
Parent Organization Name AGAPE COMMUNITY HEALTH CENTER, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
N04000004094 FL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
AGAPE Community Health Center, Inc. - NW Jax Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982069795 Agape Community Health Center, Inc. Clinic/Center 5316 N Pearl St, Jacksonville, FL 32208-5119 2015-12-21
1578928826 Agape Community Health Center, Inc. Clinic/Center 5460 Blanding Blvd, Jacksonville, FL 32244-1957 2015-12-30
1962867762 Agape Community Health Center, Inc. Clinic/Center 120 King St, Jacksonville, FL 32204-2410 2015-12-21

Office Location

Street Address 3160 EDGEWOOD AVE W
City JACKSONVILLE
State FL
Zip Code 32209-2245

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336252444 Charles B. Mcintosh Pediatrics 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 2006-08-16
1013356641 Reginald L. Sykes, Sr, M.d., P.a. Family Medicine 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 2013-06-17
1801117155 Celia Kay Judd Massage Therapist 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 2010-06-21
1205079662 Northwest Jacksonville Pediatrics, P.a. Pediatrics 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 2009-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710506183 Hayley M Shade Student in an Organized Health Care Education/Training Program 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 2020-04-15
1407484629 Micah Christine Turpeau Student in an Organized Health Care Education/Training Program 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 2020-04-01
1730716366 Nikki Javia Student in an Organized Health Care Education/Training Program 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 2020-03-24
1336776061 Samuel Kamoroff Student in an Organized Health Care Education/Training Program 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 2020-03-24
1376194092 Donald Wayne Johnson Jr. Pharmacist Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 2019-09-24
1871141838 Anton Daran Armstrong Counselor 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 2019-09-03
1295296499 Christian King Student in an Organized Health Care Education/Training Program 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 2019-03-29
1013478403 David William Barton Orthopaedic Surgery 655 W 8th St, Box C-126, Jacksonville, FL 32209 2019-03-27
1912497108 Lisa Jordan Adult Companion 1515 W 31st St, Jacksonville, FL 32209 2018-05-14
1275020968 Eloisa Anne Ello-esma Nurse Practitioner W. 8th Street, Jacksonville, FL 32209 2018-04-18
Find all providers in zip 32209

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518469527 Special Health Resources for Texas, Incorporated Clinic/Center 1011 College Street, Jacksonville, TX 75766-3307 2018-03-06
1982069795 Agape Community Health Center, Inc. Clinic/Center 5316 N Pearl St, Jacksonville, FL 32208-5119 2015-12-21
1497010425 Fl Department of Health Clinic/Center 1736 University Blvd S, Jacksonville, FL 32216-8929 2012-07-05
1578892485 Grandmary's House Clinic/Center 4828 Evanston Rd, Jacksonville, FL 32208 2009-12-24
1326668351 Agape Community Health Center, Inc Clinic/Center 6024 Merrill Rd, Jacksonville, FL 32277-3427 2020-04-20
1376178814 Agape Community Health Center, Inc Clinic/Center 1680 Dunn Ave Ste 35, Jacksonville, FL 32218-4744 2020-03-05
1760963516 Arcare Clinic/Center 1400 Braden St Ste 1, Jacksonville, AR 72076-3721 2018-08-28
1649628009 Board of Trustees of Southern Illinois University Clinic/Center 345 W State St, Jacksonville, IL 62650-1879 2016-05-26
1578928826 Agape Community Health Center, Inc. Clinic/Center 5460 Blanding Blvd, Jacksonville, FL 32244-1957 2015-12-30
1245695774 Agape Community Health Center, Inc Clinic/Center 3900 University Blvd S Ste 2, Jacksonville, FL 32216-4331 2015-12-29
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32209

Improve Information

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Dataset Information

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.

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