DISTRICT CLINIC HOLDINGS INC – NPI #1679810469
Clinic/Center

DISTRICT CLINIC HOLDINGS INC is an AHC clinic located in WEST PALM BEACH, FL. NPPES has assigned the NPI number 1679810469 to DISTRICT CLINIC HOLDINGS INC on January 14, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 6 years ago on Mar 10, 2020. 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 DISTRICT CLINIC HOLDINGS INC below.

NPI Profile for
DISTRICT CLINIC HOLDINGS INC

NPI Number
1679810469
Enumeration Date

(more than 13 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
DISTRICT CLINIC HOLDINGS INC
Primary location
1150 45TH ST
WEST PALM BEACH, FL 33407
Phone: (561) 842-7383 Fax: (561) 439-4446
Mailing address
1515 N FLAGLER DR STE 101
WEST PALM BEACH, FL 33401-3429
Phone: (561) 833-9469 Fax:
Organization Subpart
No
Authorized Official
DARCY DAVIS
CEO
Phone: (561) 804-5885
Updated
Certification Date
Mar 10, 2020

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.

Identifiers

Identifiers for DISTRICT CLINIC HOLDINGS INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL008037106
MEDICAIDFL008037107
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.

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.