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COMMUNITY HEALTH CENTERS, INC.

Company Details

Entity Name: COMMUNITY HEALTH CENTERS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 22 Dec 1972 (52 years ago)
Document Number: 725113
FEI/EIN Number 591480970
Address: 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787, US
Mail Address: 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787, US
ZIP code: 34787
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457088742 2022-08-05 2024-08-12 110 S WOODLAND ST, WINTER GARDEN, FL, 347873546, US 710 S TAMPA AVE, SUITE 203, ORLANDO, FL, 328053646, US

Contacts

Phone +1 407-905-8827
Fax 3212211040

Authorized person

Name MARICRUZ NIEVES
Role DIRECTOR OF BILLING & MANAGED CARE
Phone 4079058827

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 1275602476
State FL

Agent

Name Role Address
Andree Debra S Agent 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787

Director

Name Role Address
RADKA KARLA Director 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787

Vice President

Name Role Address
BAILEY KATHRYN Vice President 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787
MARK DICKINSON Vice President 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787

Chairman

Name Role Address
BAILEY KATHRYN Chairman 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787
MARK DICKINSON Chairman 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787
KASSAB JERRY Chairman 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787

Vice Chairman

Name Role Address
SINGH MELISSA Vice Chairman 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787

President

Name Role Address
ANDREE DEBRA President 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000068595 COMMUNITY HEALTH CENTERS - WEST LAKES ACTIVE 2023-06-05 2028-12-31 No data 110 S WOODLAND STREET, WINTER GARDEN, FL, 34787
G21000136968 COMMUNITY HEALTH CENTERS - EARLY LEARNING CENTER ACTIVE 2021-10-11 2026-12-31 No data 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787
G21000112661 COMMUNITY HEALTH CENTERS - GROVELAND ACTIVE 2021-08-31 2026-12-31 No data 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787
G21000112640 COMMUNITY HEALTH CENTERS - TAVARES ACTIVE 2021-08-31 2026-12-31 No data 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787
G21000112643 COMMUNITY HEALTH CENTERS - MEADOW WOODS ACTIVE 2021-08-31 2026-12-31 No data 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787
G21000112674 COMMUNITY HEALTH CENTERS -LEESBURG ACTIVE 2021-08-31 2026-12-31 No data 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787
G21000112588 COMMUNITY HEALTH CENTERS - APOPKA FAMILY ACTIVE 2021-08-31 2026-12-31 No data 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787
G21000112593 COMMUNITY HEALTH CENTERS - APOPKA DENTAL ACTIVE 2021-08-31 2026-12-31 No data 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787
G21000112595 COMMUNITY HEALTH CENTERS - APOPKA PEDS ACTIVE 2021-08-31 2026-12-31 No data 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787
G21000112601 COMMUNITY HEALTH CENTERS - PINE HILLS ACTIVE 2021-08-31 2026-12-31 No data 110 SOUTH WOODLAND STREET, WINTER GARDEN, FL, 34787

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2014-02-26 No data No data
NAME CHANGE AMENDMENT 1990-03-01 COMMUNITY HEALTH CENTERS, INC. No data

Date of last update: 01 Feb 2025

Sources: Florida Department of State