PRIMARY CARE MEDICAL SERVICES OF POINCIANA


Address: 1501-1507 Bill Beck Blvd, Kissimmee, FL 34744
Phone: 4079438600

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Osceola Community Health Services @ OBT Doing Business As Name - Organization

Provider Secondary Practice Location

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

Other Provider IDs and Locations

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

Office Location

Street Address 1501-1507 BILL BECK BLVD
City KISSIMMEE
State FL
Zip Code 34744

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568808533 Zubair Zakiullah Pediatrics 1501-1507 Bill Beck Blvd, Kissimmee, FL 34744-4428 2013-05-17

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City KISSIMMEE
Zip Code 34744

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Dataset Information

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.

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