PREMIER COMMUNITY HEALTHCARE GROUP, INC (NPI# 1255738977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255738977 |
| Entity Type | Organization |
| Organization Name | PREMIER COMMUNITY HEALTHCARE GROUP, INC |
| Practice Address |
38724 Mudcat Grant Blvd Dade City FL 33523 |
| Mailing Address |
Po Box 232 Dade City FL 33526-0232 |
| Practice Telephone | 3525182000 |
| Practice Fax Number | 3525671974 |
| Mailing Telephone | 3525182000 |
| Mailing Fax Number | 3525671974 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | JOSEPH RESNICK (CEO) |
| Authorized Official Telephone | 3525182000 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710288766 | Premier Community Healthcare Group, Inc | Clinic/Center | 11611 Denton Ave, Hudson, FL 34667-5420 | 2010-11-08 |
| 1649882945 | Premier Community Healthcare Group, Inc | Clinic/Center | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2020-08-18 |
| 1568073187 | Premier Community Healthcare Group, Inc | Clinic/Center | 10841 Little Rd, New Port Richey, FL 34654-2513 | 2020-08-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREMIER COMMUNITY HEALTHCARE GROUP, INC. | 37912 Church Ave, Dade City, FL 33525-4302 |
| Street Address |
38724 MUDCAT GRANT BLVD |
| City | DADE CITY |
| State | FL |
| Zip Code | 33523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446703 | Emad Mansour | Pharmacist | 21650 Us Highway 301, Dade City, FL 33523 | 2020-10-27 |
| 1881869709 | Diana Y Leland | Massage Therapist | 15000 Citrus Country Dr, Suite 212, Dade City, FL 33523 | 2008-04-23 |
| 1659642049 | Spirit Enterprises | Nursing Care | 34213 Spirit Hills Way, Dade City, FL 33523-0630 | 2012-01-18 |
| 1851679088 | Vicky Jane Bahmann | Contractor | 36915 Patton Rd, Dade City, FL 33523-1209 | 2011-07-21 |
| 1265668966 | Carla A Bevins | Speech-Language Pathologist | 21115 Hunter Hill Dr, Dade City, FL 33523-1313 | 2009-06-09 |
| 1023139920 | Kristina May Lombardi | Pharmacist | 30704 Hawkeye Rd, Dade City, FL 33523-1943 | 2007-04-02 |
| 1942491154 | Beth Lorraine Genho | Dentist | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2007-08-05 |
| 1649882945 | Premier Community Healthcare Group, Inc | Clinic/Center | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2020-08-18 |
| 1972027654 | Momentum Physical Therapy and Fitness Pllc | Physical Therapist | 14540 7th St, Dade City, FL 33523-3101 | 2017-08-03 |
| 1063436160 | Latamia M White-green | Psychiatry & Neurology | 14527 7th St, Dade City, FL 33523-3102 | 2006-07-26 |
| Find all providers in zip 33523 | ||||
| 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 |
|---|---|---|---|---|
| 1649882945 | Premier Community Healthcare Group, Inc | Clinic/Center | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2020-08-18 |
| 1881928869 | Premier Community Health Care Group, Inc. | Clinic/Center | 37944 Pasco Ave, Dade City, FL 33525-4202 | 2009-09-24 |
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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.