COMMUNITY HEALTH CENTER OF PINELLAS INC (NPI# 1194283382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194283382 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF PINELLAS INC |
| Other Organization Name | COMMUNITY HEALTH CENTER AT MOBILE HEALTH CENTER |
| Practice Address |
1344 22nd St S St Petersburg FL 33712-2744 |
| Mailing Address |
Po Box 10549 St Petersburg FL 33733-0549 |
| Practice Telephone | 7278248181 |
| Mailing Telephone | 7278248181 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | ELODIE DORSO (CEO) |
| Authorized Official Telephone | 7278248100 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH CENTER OF PINELLAS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Health Center at Mobile Health Center | Doing Business As Name - Organization |
| Community Health Centers at Mobile Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194282756 | Community Health Center of Pinellas Inc | Clinic/Center | 3860 Tampa Rd Ste C, Oldsmar, FL 34677-3022 | 2019-03-01 |
| 1609384700 | Community Health Center of Pinellas Inc | Clinic/Center | 4950 34th St N, St Petersburg, FL 33714-3031 | 2018-01-11 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1467873315 | Community Health Center of Pinellas Inc | Family Medicine | 5523 Roosevelt Blvd, Clearwater, FL 33760-3425 | 2013-12-19 |
| 1346228061 | Community Health Center of Pinellas Inc | Obstetrics & Gynecology | 247 S Huey Ave, Tarpon Springs, FL 34689-4205 | 2006-01-03 |
| 1568440287 | Community Health Center of Pinellas Inc | Pediatrics | 707 Druid Rd E, Clearwater, FL 33756-3951 | 2006-01-03 |
| 1255319976 | Community Health Center of Pinellas Inc | Family Medicine | 12420 130th Ave, Largo, FL 33774-1950 | 2006-01-03 |
| 1578046512 | Community Health Center of Pinellas Inc | Pharmacy | 7550 43rd St N, Pinellas Park, FL 33781-3601 | 2018-09-14 |
| 1427438043 | Community Health Center of Pinellas Inc | Clinic/Center | 1721 Main St, Dunedin, FL 34698-6402 | 2015-06-09 |
| 1760807218 | Community Health Center of Pinellas Inc | Clinic/Center | 702 Jasmine Way, Clearwater, FL 33756-3951 | 2014-02-20 |
| Street Address |
1344 22ND ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376531988 | James William Kenney | Chiropractor | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2005-10-07 |
| 1376155937 | Leidy Santos | Dentist | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2020-08-17 |
| 1104440676 | Callie Ashlock | Nurse Practitioner | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2020-06-01 |
| 1477172393 | Jamekia Shonta Grant | Pharmacist | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2020-04-10 |
| 1720623606 | Jonathan Corey Tanner | Dentist | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2019-11-14 |
| 1447806484 | Joshua Colvin | Dentist | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2019-08-15 |
| 1346749892 | Megan Marie Hindmon | Nurse Practitioner | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2018-02-09 |
| 1255859690 | Jenny Marie Bagg | Advanced Practice Midwife | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2017-09-06 |
| 1649792649 | Elizabeth Lynne Plumley | Advanced Practice Midwife | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2017-07-11 |
| 1902339518 | Kesha Thomas Williams | Family Medicine | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609384700 | Community Health Center of Pinellas Inc | Clinic/Center | 4950 34th St N, St Petersburg, FL 33714-3031 | 2018-01-11 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1578644431 | Bay Pines Va Health Care Systems | Clinic/Center | 1000 Bay Pines Blvd Dom C184, St Petersburg, FL 33744 | 2006-10-18 |
| 1518998731 | Community Health Center of Pinellas Inc | Clinic/Center | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2006-07-05 |
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| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
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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.