Can Community Health, Inc.

NPI Registration Record

Provider / Organization	NPI	Date Certified
CAN COMMUNITY HEALTH, INC.	1881261105	2021-06-06

The organization Can Community Health, Inc. is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1881261105. Registration indicates Can Community Health, Inc. is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )

Entity Type	Organization

Provider Organization	CAN COMMUNITY HEALTH, INC.
Practice Office Address	4615 PHILIPS HWY STE 3 JACKSONVILLE, FL US
Practice Office Telephone	9045080710
Practice Office Fax	8552997010
Mailing Address	PO BOX 1000 DEPT 394 MEMPHIS, TN 381480001 US
Business Telephone	9413004440
Business Fax	9414041760
Authorized Official	RISHI B PATEL, PRESIDENT & CEO 9413004440

HPT Codes

Code	Practice	License No State
1223G0001X PRIMARY	Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist

OPI Codes

057256035	MEDICAID	FL
21725	OTHER	FL	BCBS FL GROUP #

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