TREASURE COAST COMMUNITY HEALTH INC (NPI# 1194274720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194274720 |
| Entity Type | Organization |
| Organization Name | TREASURE COAST COMMUNITY HEALTH INC |
| Practice Address |
13505 Us Highway 1 Sebastian FL 32958-3759 |
| Mailing Address |
1555 Indian River Blvd Ste 210 Vero Beach FL 32960-5639 |
| Practice Telephone | 7722578224 |
| Practice Fax Number | 7722133157 |
| Mailing Telephone | 7722578224 |
| Mailing Fax Number | 7722133157 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2018-04-20 |
| Authorized Official Name | MS. VICKI SOULE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7725711986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 680005016 | 05 | |
| FL | 680005015 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093266793 | Treasure Coast Community Health Inc | Clinic/Center | 44 N Pine St, Fellsmere, FL 32948-5944 | 2016-10-18 |
| 1376010504 | Treasure Coast Community Health Inc | Clinic/Center | 787 37th St Ste 140, Vero Beach, FL 32960-7305 | 2018-10-25 |
| 1912458613 | Treasure Coast Community Health Inc | Clinic/Center | 1545 9th St Sw, Vero Beach, FL 32962-4312 | 2016-10-18 |
| 1649721341 | Treasure Coast Community Health Inc | Clinic/Center | 1553 Us Highway 1, Vero Beach, FL 32960-5735 | 2016-10-18 |
| 1205385838 | Treasure Coast Community Health Inc | Clinic/Center | 1955 21st Ave, Vero Beach, FL 32960-3091 | 2016-09-23 |
| 1639452451 | Treasure Coast Community Health Inc | Pharmacy | 1545 9th St Sw, Vero Beach, FL 32962-4312 | 2011-09-28 |
| 1992003099 | Treasure Coast Community Health Inc | Pharmacy | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2011-03-14 |
| 1891740916 | Treasure Coast Community Health Inc | Clinic/Center | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2006-05-24 |
| Street Address |
13505 US HIGHWAY 1 |
| City | SEBASTIAN |
| State | FL |
| Zip Code | 32958-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853005 | Muhammad M Siddiqui | Specialist | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2005-06-28 |
| 1285093062 | Betty C Chukwuma | Nurse Practitioner | 13505 Us Highway 1, Sebastian, FL 32958 | 2016-02-22 |
| 1871977538 | Alicia Sherrell Juste | Nurse Practitioner | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2015-07-13 |
| 1104253392 | Jane E Guiles | Counselor | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2013-10-02 |
| 1790039071 | Jackie Long | Psychiatry & Neurology | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2012-11-07 |
| 1811275373 | Elizabeth H. Griffin | Counselor | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2011-08-01 |
| 1528360526 | Catherine Ann Sheahan | Nurse Practitioner | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2010-11-23 |
| 1528215092 | Shahida P Moizuddin | General Practice | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2008-08-26 |
| 1194992669 | Amy Fodor | Counselor | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2008-05-13 |
| 1538275573 | Itashia Cunningham | Nurse Practitioner | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900714 | Maurice Vondell Wilson | Pharmacist | 7746 Bay Street, Sebastian, FL 32958 | 2020-10-22 |
| 1003426792 | Riverview Family Dental, Pa | Dentist | 1511 Us Highway 1, Suite 201, Sebastian, FL 32958 | 2020-08-06 |
| 1578102257 | Jessica Patrice Squiabro Pierce | Nurse Practitioner | 7765 144th St #4, Sebastian, FL 32958 | 2019-12-30 |
| 1952951949 | Renee Brothers | Occupational Therapist | Pelican Landing 13085 U.S. 1, Sebastian, FL 32958 | 2019-09-12 |
| 1457909681 | Tania M Schmitfranz | Physical Therapist | 1155 35h Lane, Suite 100, Vero Beach, FL 32958 | 2019-08-30 |
| 1255803649 | Christine A Festa | Family Medicine | 14060 Us Highway 1, Sebastian, FL 32958 | 2018-12-22 |
| 1639662174 | Wei Yin Vuong | Dentist | 1451 Sebastian Blvd Ste 180, Sebastian, FL 32958 | 2018-06-10 |
| 1194229724 | Courtney Carroll Frazier | Nurse Practitioner | 1627 Us Highway 1 Ste 207, Sebastian, FL 32958 | 2018-03-20 |
| 1386168771 | Main Street Counseling | Social Worker | 1069- Main Street, Ste 216, Sebastian, FL 32958 | 2017-07-28 |
| 1538516844 | Lynn Borlas | Speech-Language Pathologist | 1140 7th Court, Vero Beach, FL 32958 | 2016-05-17 |
| Find all providers in zip 32958 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.