TAMPA FAMILY HEALTH CENTERS INC (NPI# 1417953571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417953571 |
| Entity Type | Organization |
| Organization Name | TAMPA FAMILY HEALTH CENTERS INC |
| Other Organization Name | TAMPA COMMUNITY HEALTH CENTERS, INC. |
| Practice Address |
1502 E Fowler Ave Tampa FL 33612-5416 |
| 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 | 2020-10-14 |
| Authorized Official Name | SHERRY HOBACK (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 | MEDICAID FEE FOR SERVICE | 062781005 | 01 |
| FL | 029548505 | 05 |
| 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 |
1502 E FOWLER AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013311703 | Kenneth Argote | Nurse Practitioner | 1502 E Fowler Ave, Tampa, FL 33612-5416 | 2014-10-09 |
| 1629481403 | Michelle Migliore | Nurse Practitioner | 1502 E Fowler Ave, Tampa, FL 33612-5416 | 2014-06-09 |
| 1073859989 | Nehelia Cedella Johnson | Nurse Practitioner | 1502 E Fowler Ave, Tampa, FL 33612-5416 | 2012-12-20 |
| 1861749459 | William Guerra | Dentist | 1502 E Fowler Ave, Tampa, FL 33612-5416 | 2012-08-14 |
| 1639473515 | Arnaldo Sanchez | Internal Medicine | 1502 E Fowler Ave, Apt 2812, Tampa, FL 33612-5416 | 2011-01-06 |
| 1952538142 | Monica Perez | Dentist | 1502 E Fowler Ave, Tampa, FL 33612-5416 | 2009-06-16 |
| 1003069022 | Randi Marie Bustin | Physician Assistant | 1502 E Fowler Ave, Tampa, FL 33612-5416 | 2008-11-04 |
| 1164601936 | Lori B Wagner | Family Medicine | 1502 E Fowler Ave, Tampa, FL 33612-5416 | 2007-10-30 |
| 1104955897 | Anjali Krishnakumar Rajani | Dentist | 1502 E Fowler Ave, Tampa, FL 33612-5416 | 2007-03-05 |
| 1912086067 | Donita I Dobson | Internal Medicine | 1502 E Fowler Ave, Tampa, FL 33612-5416 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| 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 |
| 1568468668 | Tampa Family Health Centers Inc | Clinic/Center | 1514 N Florida Ave, Suite 300, Tampa, FL 33602-2602 | 2005-06-23 |
| 1356347413 | Tampa Family Health Centers Inc | Clinic/Center | 3901 S West Shore Blvd, Tampa, FL 33611-1003 | 2005-06-23 |
| Find all providers in TAMPA | ||||
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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.