CL BRUMBACK PRIMARY CARE CLINIC, MANGONIA PARK
NPI 1780155200
Clinic/Center - Federally Qualified Health Center (FQHC) in West Palm Beach, FL
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
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cl Brumback Primary Care Clinic, Mangonia Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
49Medicare enrollment records show 49 clinicians reassign Medicare billing to Cl Brumback Primary Care Clinic, Mangonia Park, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 49Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is District Clinic Holdings Inc located?
District Clinic Holdings Inc is located at 2051 45th St Ste 300, West Palm Beach, FL 33407. The listed phone number is (561) 642-1000.
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.
Is District Clinic Holdings Inc enrolled in Medicare?
Yes. District Clinic Holdings Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through District Clinic Holdings Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 11 Medicare specialties reassign their Medicare billing to District Clinic Holdings Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Family Practice (8) and Dentist (5). Of these, 7 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does District Clinic Holdings Inc accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list District Clinic Holdings Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for District Clinic Holdings Inc was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cl Brumback Primary Care Clinic, Mangonia Park · NPI 1780155200
Federally Qualified Health Center (FQHC) organization in West Palm Beach, Florida. Organization record, active in the CMS NPPES registry since December 10, 2018.
## Identity
- **NPI:** 1780155200 (Entity type: Organization)
- **Enumerated:** December 10, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** District Clinic Holdings Inc
- **Organization subpart:** No
- **Authorized official:** Darcy Davis, CEO
## Practice location
- **Address:** 2051 45TH ST STE 300, West Palm Beach, FL 33407-2031
- **Phone:** (561) 642-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 49 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Family Practice (8), Dentist (5); 7 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1780155200/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780155200) · Data from the CMS NPPES public registry.