TAMPA FAMILY HEALTH CENTERS INC (NPI# 1356347413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356347413 |
| Entity Type | Organization |
| Organization Name | TAMPA FAMILY HEALTH CENTERS INC |
| Other Organization Name | TAMPA COMMUNITY HEALTH CENTERS INC |
| Practice Address |
3901 S West Shore Blvd Tampa FL 33611-1003 |
| Mailing Address |
Po Box 82969 Tampa FL 33682-2969 |
| Practice Telephone | 8138660930 |
| Practice Fax Number | 8138660929 |
| Mailing Telephone | 8138660930 |
| Mailing Fax Number | 8138660929 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2016-11-23 |
| Authorized Official Name | CHARLES R BOTTOMS (PRESIDENT/CEO) |
| Authorized Official Telephone | 8138660930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
N/A | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | 97274 | 01 |
| FL | 029548500 | 05 | |
| FL | MEDICAID FEE FOR SERVICE | 062781000 | 01 |
| Other Name | Type Code |
|---|---|
| Tampa Community Health Centers Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245608348 | Tampa Family Health Centers Inc | Clinic/Center | 302 E. Fletcher Avenue, Tampa, FL 33612-3415 | 2015-09-04 |
| 1760881437 | Tampa Family Health Centers Inc | Pharmacy | 6216 E Sligh Avenue, Tampa, FL 33617 | 2014-08-19 |
| 1780978254 | Tampa Family Health Centers Inc | Clinic/Center | 9827 N. Sheldon Rd, Tampa, FL 33635-1051 | 2011-06-02 |
| 1578857140 | Tampa Family Health Centers Inc | Clinic/Center | 13601 N 22nd St, Tampa, FL 33613-4427 | 2011-06-01 |
| 1851562367 | Tampa Family Health Centers Inc | Clinic/Center | 6216 Sligh Ave, Tampa, FL 33617-9105 | 2008-03-13 |
| 1306988910 | Tampa Family Health Centers Inc | Pharmacist | 8213 W. Waters Ave, Tampa, FL 33615-1822 | 2007-02-12 |
| 1568503985 | Tampa Family Health Centers Inc | Pharmacy | 1502 E. Fowler Ave, Tampa, FL 33612 | 2007-02-09 |
| 1225179625 | Tampa Family Health Centers Inc | Pharmacist | 3402 N 22nd Street, Tampa, FL 33605-1214 | 2007-02-09 |
| 1396891016 | Tampa Family Health Centers Inc | Clinic/Center | 8213 W Waters Ave, Tampa, FL 33615-1822 | 2007-01-26 |
| 1477604486 | Tampa Family Health Centers Inc | Pharmacy | 2103 N. Rome Ave, Tampa, FL 33607 | 2007-01-16 |
| Street Address |
3901 S WEST SHORE BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33611-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528474822 | Darlene Wanick Jean | Dentist | 3901 S West Shore Blvd, Tampa, FL 33611-1003 | 2014-07-08 |
| 1962827196 | Aderonke Ogunbameru | Dentist | 3901 S West Shore Blvd, Tampa, FL 33611-1003 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
| 1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
| 1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
| 1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
| 1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
| 1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
| 1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
| 1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
| 1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| Find all providers in zip 33611 | ||||
| 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 |
|---|---|---|---|---|
| 1831655380 | Tampa Family Health Centers, Inc | Clinic/Center | 12085 W. Hillsborough Ave., Tampa, FL 33625 | 2019-02-20 |
| 1891251336 | Tampa Family Health Centers, Inc. | Clinic/Center | 5 Tampa General Cir Ste 650, Tampa, FL 33606-3659 | 2019-02-20 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1780978254 | Tampa Family Health Centers Inc | Clinic/Center | 9827 N. Sheldon Rd, Tampa, FL 33635-1051 | 2011-06-02 |
| 1578857140 | Tampa Family Health Centers Inc | Clinic/Center | 13601 N 22nd St, Tampa, FL 33613-4427 | 2011-06-01 |
| 1851562367 | Tampa Family Health Centers Inc | Clinic/Center | 6216 Sligh Ave, Tampa, FL 33617-9105 | 2008-03-13 |
| 1396891016 | Tampa Family Health Centers Inc | Clinic/Center | 8213 W Waters Ave, Tampa, FL 33615-1822 | 2007-01-26 |
| 1104866870 | Tampa Family Health Centers Inc | Clinic/Center | 2103 N Rome Ave, Tampa, FL 33607-3509 | 2006-06-08 |
| 1417953571 | Tampa Family Health Centers Inc | Clinic/Center | 1502 E Fowler Ave, Tampa, FL 33612-5416 | 2005-06-23 |
| 1568468668 | Tampa Family Health Centers Inc | Clinic/Center | 1514 N Florida Ave, Suite 300, Tampa, FL 33602-2602 | 2005-06-23 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on TAMPA FAMILY HEALTH CENTERS INC.
| 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.