A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Dentist |
122300000X | |||
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1861480709 |
| LBN Legal business name | CENTRAL COUNTIES HEALTH CENTERS, INC. |
| Authorized official | CINDY KAVANAGH - (ACCOUNTANT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/13/2005 |
| Last updated | 09/02/2016 - About 10 years ago |
| Identifiers | n/a |
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