SUNCOAST COMMUNITY HEALTH CENTERS, INC (NPI# 1518388354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518388354 |
| Entity Type | Organization |
| Organization Name | SUNCOAST COMMUNITY HEALTH CENTERS, INC |
| Other Organization Name | WIMAUMA COMMUNITY HEALTH CENTER |
| Practice Address |
5121 State Road 674 Wimauma FL 33598-3515 |
| Mailing Address |
13110 Elk Mountain Dr Riverview FL 33579-7182 |
| Practice Telephone | 8133497800 |
| Mailing Telephone | 8133497588 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |
| Authorized Official Name | ROBERT R RODRIGUEZ (CFO) |
| 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 |
| Other Name | Type Code |
|---|---|
| Wimauma Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609303734 | Suncoast Community Health Centers, Inc | Clinic/Center | 9555 E Fowler Ave, Thonotosassa, FL 33592-2139 | 2017-05-19 |
| 1669830832 | Suncoast Community Health Centers, Inc | Clinic/Center | 313 South Lakewood Drive, Brandon, FL 33511 | 2016-02-03 |
| 1689007080 | Suncoast Community Health Centers, Inc | Clinic/Center | 125 N Moon Ave Ste A, Brandon, FL 33510-4431 | 2013-08-21 |
| 1811275472 | Suncoast Community Health Centers, Inc | Clinic/Center | 205 14th Ave Se, Ruskin, FL 33570-5346 | 2011-08-01 |
| 1427550904 | Suncoast Community Health Centers, Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2018-03-01 |
| 1073057964 | Suncoast Community Health Centers, Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2016-12-12 |
| 1477979748 | Suncoast Community Health Centers, Inc | Clinic/Center | 7728 Palm River Rd, Tampa, FL 33619-4215 | 2014-03-11 |
| 1497188890 | Suncoast Community Health Centers, Inc | Clinic/Center | 1729 Lakeland Hills Blvd, Lakeland, FL 33805-3016 | 2013-08-21 |
| 1811240708 | Suncoast Community Health Centers, Inc | Clinic/Center | 1729 Lakeland Hills Blvd, Lakeland, FL 33805-3016 | 2012-10-17 |
| 1386993947 | Suncoast Community Health Centers, Inc | Clinic/Center | 710 Oakfield Dr, Suite 105, Brandon, FL 33511-4938 | 2012-08-29 |
| Street Address |
5121 STATE ROAD 674 |
| City | WIMAUMA |
| State | FL |
| Zip Code | 33598-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164421186 | Scott Allen French | Physician Assistant | 5121 State Road 674, Wimauma, FL 33598-3515 | 2005-07-20 |
| 1043562663 | Elizabeth L Roszel | Registered Nurse | 5121 State Road 674, Wimauma, FL 33598-3515 | 2012-10-05 |
| 1801931399 | Med-surg Pas Inc | Physician Assistant | 5121 State Road 674, Wimauma, FL 33598-3515 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962032672 | Micheline Renee Ferguson | Case Manager/Care Coordinator | 10008 Carloway Hills Dr., Wimauma, FL 33598 | 2020-01-22 |
| 1619468840 | Community & Home Health Solutions Inc | Registered Nurse | 15703 Carlton Lake Rd., Wimauma, FL 33598 | 2018-05-23 |
| 1629368949 | Marcus William Campbell | Pharmacist | Tgmg Sun City Center, 16521 South Us Hwy 301, Wimauma, FL 33598 | 2011-04-08 |
| 1184934895 | Edith Berrien Homehealth Service | Home Health | 6011 Vel Street, Wimauma, FL 33598 | 2010-10-15 |
| 1962637488 | Christina Ann Raymond | Mechanotherapist | 1078 Chert Rock Trl, Wimauma, FL 33598 | 2009-05-28 |
| 1922139344 | Wal-mart Stores East, L.p. | Technician/Technologist | 4928 State Rd. 674, Ruskin, FL 33598 | 2007-03-08 |
| 1962455873 | Italy Shoe Lab, Inc | Prosthetic/Orthotic Supplier | 16621 Hwy 301 S, #107, Wimauma, FL 33598 | 2006-05-19 |
| 1275071581 | Landez Thomas | Behavior Technician | 10722 Standing Stone Dr, Wimauma, FL 33598 | 2017-02-07 |
| 1407413974 | Synergic Healthcare Solutions LLC | Clinic/Center | 16521 S Us Highway 301, Wimauma, FL 33598-2032 | 2019-05-21 |
| 1881161826 | Tower Imaging LLC | Radiology | 16521 S. Us Hwy 301, Wimauma, FL 33598-2032 | 2018-10-29 |
| Find all providers in zip 33598 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.