SUNCOAST COMMUNITY HEALTH CENTERS INC (NPI# 1285644799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285644799 |
Entity Type | Organization |
Organization Name | SUNCOAST COMMUNITY HEALTH CENTERS INC |
Other Organization Name | RUSKIN HEALTH CENTER |
Practice Address |
2814 14th Ave Se Ruskin FL 33570-5471 |
Mailing Address |
13110 Elk Mountain Dr Riverview FL 33579-7182 |
Practice Telephone | 8133497800 |
Practice Fax Number | 8133497861 |
Mailing Telephone | 8133497567 |
Mailing Fax Number | 8133497596 |
Enumeration Date | 2006-08-08 |
Last Update Date | 2013-12-20 |
Authorized Official Name | ROBERT RODRIGUEZ (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 8133497563 |
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 | 029557400 | 05 |
Other Name | Type Code |
---|---|
Ruskin Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104836600 | Suncoast Community Health Centers Inc | Clinic/Center | 2814 14th Avenue Se, Ruskin, FL 33570 | 2006-08-08 |
1326410952 | Suncoast Community Health Centers Inc | Pharmacy | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2015-10-22 |
1043636566 | Suncoast Community Health Centers Inc | Pharmacy | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2014-03-07 |
1912273285 | Suncoast Community Health Centers Inc | Pharmacy | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2012-03-30 |
1427339175 | Suncoast Community Health Centers Inc | Clinic/Center | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2011-09-07 |
1770596058 | Suncoast Community Health Centers Inc | Pharmacy | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2006-08-15 |
1144230640 | Suncoast Community Health Centers Inc | Clinic/Center | 14254 Martin Luther King Blvd, Dover, FL 33527-4414 | 2006-08-08 |
1053321554 | Suncoast Community Health Centers Inc | Clinic/Center | 502 N Mobley St, Suite 1, Plant City, FL 33563-2904 | 2006-08-08 |
1578573085 | Suncoast Community Health Centers Inc | Clinic/Center | 801 E Baker St, Plant City, FL 33563-3652 | 2006-08-08 |
Street Address |
2814 14TH AVE SE |
City | RUSKIN |
State | FL |
Zip Code | 33570-5471 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356346340 | Aura Maria Cisneros | Dentist | 2814 14th Ave Se, Ruskin Health Center, Ruskin, FL 33570 | 2005-06-16 |
1871099051 | Melissa Emmanuel | Nurse Practitioner | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2018-04-05 |
1225579766 | Angela Mcclure | Nurse Practitioner | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2017-03-16 |
1235547258 | Helen Potestas Coronica | Nurse Practitioner | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2014-07-23 |
1134462104 | Maricar C Cal | Nurse Practitioner | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2013-03-28 |
1275803173 | Anusha Kilaru | Pediatrics | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2012-01-09 |
1427339175 | Suncoast Community Health Centers Inc | Clinic/Center | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2011-09-07 |
1093006066 | Michele Trang Thi Ho | Internal Medicine | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2011-04-26 |
1568769008 | Lan Dinh | Dentist | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2011-02-18 |
1649575564 | Joshua Stephen Klasinski | Physician Assistant | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2011-01-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
1063058394 | Billy Lane | Specialist/Technologist | Amazon Fullfillment Center Tpa1, 3350 Laurel Ridge Ave, Ruskin, FL 33570 | 2019-11-21 |
1366090946 | Our Hearts Home Care & Staffing LLC | Home Health | 239 Cascade Bend Dr, Ruskin, FL 33570 | 2019-08-28 |
1659892230 | Apollo Health Services | Pharmacy | 517 N Us Highway 41, Ruskin, FL 33570 | 2017-07-04 |
1215485404 | Natacha Noel | Custodial Care Facility | 1014 Cristelle Jean Dr., Ruskin, FL 33570 | 2016-09-15 |
1093170805 | Timothy Soliman Afch | Clinic/Center | 738 Tanana Fall Drive, Ruskin, FL 33570 | 2015-12-21 |
1952793606 | Jitendra Pansuria | Pharmacist | 1023 N Tamiami Trail, Ruskin, FL 33570 | 2015-03-04 |
1588078182 | Joyful Solutions Homemaker Sitter and Companion Services | Home Health | 1416 Delano Trent St., Ruskin, FL 33570 | 2014-06-12 |
1740541143 | Miguel Miron | Pharmacist | 2101 Roanoke Springs Drive, Ruskin, FL 33570 | 2012-06-01 |
1437385267 | Ramon E Guadalupe | Massage Therapist | 2232 Road Oak Spring Dr, Ruskin, FL 33570 | 2009-06-08 |
Find all providers in zip 33570 |
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 |
---|---|---|---|---|
1811275472 | Suncoast Community Health Centers, Inc | Clinic/Center | 205 14th Ave Se, Ruskin, FL 33570-5346 | 2011-08-01 |
1104836600 | Suncoast Community Health Centers Inc | Clinic/Center | 2814 14th Avenue Se, Ruskin, FL 33570 | 2006-08-08 |
1780994897 | Suncoast Community Health Centers, Inc | Clinic/Center | 2814 14th Ave Se, Ruskin, FL 33570-5471 | 2010-10-08 |
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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.