CLEARWATER FREE CLINIC, INC. – NPI #1912271586
Clinic/Center

CLEARWATER FREE CLINIC, INC. is an AHC clinic located in CLEARWATER, FL. NPPES has assigned the NPI number 1912271586 to CLEARWATER FREE CLINIC, INC. on February 29, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QC1500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Community Health

The NPI profile was previously updated about 4 years ago on Mar 19, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEARWATER FREE CLINIC, INC. below.

NPI Profile for
CLEARWATER FREE CLINIC, INC.

NPI Number
1912271586
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLEARWATER FREE CLINIC, INC.
Primary location
CLEARWATER FREE CLINIC, INC.
1218 COURT STREET
CLEARWATER, FL 33756
Phone: (727) 447-3041 Fax: (727) 442-0320
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEAN SHAPIRO
C.E.O.
Phone: (727) 331-8150
Updated
Certification Date
Mar 19, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QC1500X
- Clinic/Center / Community Health (Primary)		 FL AC#5951154

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.