PRIMARY CARE MEDICAL SERVICES OF POINCIANA (NPI# 1043873342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043873342 |
Entity Type | Organization |
Organization Name | PRIMARY CARE MEDICAL SERVICES OF POINCIANA |
Other Organization Name | OSCEOLA COMMUNITY HEALTH SERVICES @ OBT |
Practice Address |
1501-1507 Bill Beck Blvd Kissimmee FL 34744 |
Mailing Address |
1877 Fortune Rd Kissimmee FL 34744-4428 |
Practice Telephone | 4079438600 |
Mailing Telephone | 4079438600 |
Mailing Fax Number | 4079325140 |
Enumeration Date | 2019-04-22 |
Last Update Date | 2019-06-27 |
Authorized Official Name | BELINDA JOHNSON-CORNETT (CEO) |
Authorized Official Telephone | 4079438600 |
Is Organization Subpart | Y |
Parent Organization Name | PRIMARY CARE MEDICAL SERVICES OF POINCIANA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Osceola Community Health Services @ OBT | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
109 N Doverplum Ave, Kissimmee, FL 347583309 | 4079438600 | |
1050 Grape Ave, Saint Cloud, FL 347693965 | 4079438600 | |
2622 Simpson Rd, Kissimmee, FL 347444674 | 4079438600 | |
1703 Business Center Ln, Kissimmee, FL 347581801 | 4079438600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144733031 | Primary Care Medical Services of Poinciana | Clinic/Center | 2622 Simpson Rd, Kissimmee, FL 34744-4674 | 2017-11-14 |
1710375456 | Primary Care Medical Services of Poinciana | Clinic/Center | 109 N Doverplum Ave, Kissimmee, FL 34758 | 2015-01-05 |
1962890723 | Primary Care Medical Services of Poinciana | Clinic/Center | 1703 Business Center Ln, Kissimmee, FL 34758-1801 | 2015-01-02 |
1982002945 | Primary Care Medical Services of Poinciana | Clinic/Center | 1501-1503 Bill Beck Blvd, Kissimmee, FL 34744 | 2014-12-08 |
1376093609 | Primary Care Medical Services of Poinciana | Clinic/Center | 1875 Fortune Rd, Kissimmee, FL 34744-4428 | 2016-10-11 |
1801284443 | Primary Care Medical Services of Poinciana | Clinic/Center | 1050 Grape Ave, Saint Cloud, FL 34769-3965 | 2015-01-06 |
Street Address |
1501-1507 BILL BECK BLVD |
City | KISSIMMEE |
State | FL |
Zip Code | 34744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568808533 | Zubair Zakiullah | Pediatrics | 1501-1507 Bill Beck Blvd, Kissimmee, FL 34744-4428 | 2013-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
1871126722 | Orlando Therapy Services LLC | Speech-Language Pathologist | 2815 Flamvoyan Street, Kissimmee, FL 34744 | 2020-02-19 |
1083197941 | Marilyn Mendez | Behavior Technician | 678 Cornestone Dr, Kissimmee, FL 34744 | 2018-09-07 |
1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
1831698661 | Ramirez and Poulos M.d. P.a. | Ophthalmology | 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 | 2018-02-07 |
1548702517 | Laura L Wheeler | Counselor | 600 N Thacker, D63, Kissimmee, FL 34744 | 2016-11-08 |
1275992950 | Judith Ambrose | Case Management | 1320 N Main Street, Suite B, Saint Cloud, FL 34744 | 2016-02-23 |
1043685258 | Oreida Hernandez De Morissette | Case Management | 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 | 2015-12-14 |
1780062232 | Martin Alfredo Rosell | Hearing Instrument Specialist | 806 N Main Street, Kissimmee, FL 34744 | 2015-05-15 |
Find all providers in zip 34744 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336747724 | Yosselin Torres Reyes | Community/Behavioral Health | 3208 Hillsdale Ln, Kissimmee, FL 34741-7562 | 2020-10-16 |
1982225595 | Positive Mindset Group LLC | Community/Behavioral Health | 109 N Beaumont Ave, Kissimmee, FL 34741-5120 | 2020-05-05 |
1972065142 | Eleos Family Services, LLC | Community/Behavioral Health | 3854 Carrick Bend Dr, Kissimmee, FL 34746-2974 | 2019-04-04 |
1831662170 | Carmen Elicier | Community/Behavioral Health | 703 Tahiti Dr, Kissimmee, FL 34758-4311 | 2019-01-09 |
1801369707 | Luisa Josefina Lugo Gomez | Community/Behavioral Health | 3006 Marta Cir Apt 102, Kissimmee, FL 34741-0745 | 2019-01-03 |
1275068389 | Elsa V. Garcia | Community/Behavioral Health | 307 Colony Ct, Kissimmee, FL 34758-3039 | 2017-04-26 |
1932650058 | Concord Counseling Center LLC | Community/Behavioral Health | 897 Towne Center Dr, Suite 101, Kissimmee, FL 34759-3469 | 2016-10-24 |
1487024204 | Marilyn Negron Associates LLC | Community/Behavioral Health | 202 Palmwood Ct, Kissimmee, FL 34743-8609 | 2015-10-06 |
1972994812 | Behavioral Support Services | Community/Behavioral Health | 2495 Huron Cir, Kissimmee, FL 34746-3443 | 2015-02-13 |
1235527789 | A Boundless Care Inc | Community/Behavioral Health | 3501 W Vine St Ste 115, Kissimmee, FL 34741-4644 | 2015-01-07 |
Find all providers in KISSIMMEE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.