CL BRUMBACK PRIMARY CARE CLINIC, MANGONIA PARK
NPI 1780155200
Clinic/Center - Federally Qualified Health Center (FQHC) in West Palm Beach, FL

Q: What is District Clinic Holdings Inc's NPI number?

The NPI number for District Clinic Holdings Inc is 1780155200. It was assigned to this organization in the NPPES registry on December 10, 2018. The provider is doing business as Cl Brumback Primary Care Clinic, Mangonia Park.

Q: What is District Clinic Holdings Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since December 10, 2018

2051 45TH ST STE 300, WEST PALM BEACH, FL 33407(561) 642-1000 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2020, Nov 6, 2019, Oct 10, 2019 and 3 more (6 updates tracked since 2018).

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About Cl Brumback Primary Care Clinic, Mangonia Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CL BRUMBACK PRIMARY CARE CLINIC, MANGONIA PARK (NPI 1780155200) is a healthcare organization registered as a federally qualified health center (fqhc) in West Palm Beach, Florida and active in the NPI registry since December 2018. The organization lists Darcy Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780155200

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameDISTRICT CLINIC HOLDINGS INC

Location Address2051 45TH ST STE 300West Palm Beach, FL 33407-2031

Mailing Address1515 N Flagler Dr Ste 101West Palm Beach, FL 33401-3429 · (561) 642-1000

Phone(561) 642-1000

Organization SubpartNo

Authorized OfficialDarcy DavisCeo · (561) 804-5885

Enumeration DateDecember 10, 2018

Last NPPES UpdateApril 18, 20236 updates tracked since enumeration

NPPES CertifiedApril 18, 2023

✔ NPI 1780155200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

2051 45TH ST STE 300, West Palm Beach, FL 33407

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Other Names 1

Doing Business AsCl Brumback Primary Care Clinic, Mangonia Park

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN HIRSCH

Social Worker (Clinical)