PREMIER COMMUNITY HEALTHCARE GROUP, INC (NPI# 1568073187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568073187 |
| Entity Type | Organization |
| Organization Name | PREMIER COMMUNITY HEALTHCARE GROUP, INC |
| Practice Address |
10841 Little Rd New Port Richey FL 34654-2513 |
| Mailing Address |
Po Box 232 Dade City FL 33526-0232 |
| Practice Telephone | 3525182000 |
| Practice Fax Number | 3525670218 |
| Mailing Telephone | 3525182000 |
| Mailing Fax Number | 3525670218 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | JOSEPH RESNICK (CEO) |
| Authorized Official Telephone | 3525182000 |
| Is Organization Subpart | Y |
| Parent Organization Name | PREMIER COMMUNITY HEALTHCARE GROUP, INC |
| 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 |
|---|---|---|---|---|
| 1255738977 | Premier Community Healthcare Group, Inc | Clinic/Center | 38724 Mudcat Grant Blvd, Dade City, FL 33523 | 2014-11-24 |
| 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 |
| 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 |
10841 LITTLE RD |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34654-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083687719 | Florida Department of Health | Public Health or Welfare | 10841 Little Rd, New Port Richey, FL 34654-2513 | 2006-02-13 |
| 1619418662 | Suzanne Crenshaw | Dental Hygienist | 10841 Little Rd, Bldg A, New Port Richey, FL 34654-2513 | 2017-03-10 |
| 1710434550 | Thu Tam Thu Le | Nurse Practitioner | 10841 Little Rd, New Port Richey, FL 34654-2513 | 2016-09-09 |
| 1487050779 | Wendy Jean Perry | Dietitian, Registered | 10841 Little Rd, New Port Richey, FL 34654-2513 | 2014-11-13 |
| 1134560923 | Nathaniel Aaron Fryburger | Dietitian, Registered | 10841 Little Rd, New Port Richey, FL 34654-2513 | 2013-07-10 |
| 1033429352 | Chrisie A Allemand | Dietitian, Registered | 10841 Little Rd, New Port Richey, FL 34654-2513 | 2010-10-20 |
| 1518290824 | Melissa Renee Metz | Dietitian, Registered | 10841 Little Rd, New Port Richey, FL 34654-2513 | 2009-09-18 |
| 1083894851 | Roberta M Lambert | Counselor | 10841 Little Rd, New Port Richey, FL 34654-2513 | 2007-11-09 |
| 1326192717 | Janice Dagmar Quinones-bravo | Personal Emergency Response Attendant | 10841 Little Rd, New Port Richey, FL 34654-2513 | 2007-01-22 |
| 1184771008 | David R Johnson | Preventive Medicine | 10841 Little Rd, New Port Richey, FL 34654-2513 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891241345 | Angela Michelle Winn | Nurse Practitioner | 8350 Little Rd Ste 105, New Port Richey, FL 34654 | 2016-08-25 |
| 1306220611 | Darla Stolec | Massage Therapist | 12048 Darwin Avenue, New Port Richey, FL 34654 | 2015-07-16 |
| 1790186849 | Jennifer Davis | Dentist | 8267 Little Rd, New Port Richey, FL 34654 | 2014-09-09 |
| 1649572231 | Gallo House I, Inc. | Assisted Living Facility | 9110 Star Trail, New Port Richey, FL 34654 | 2010-12-02 |
| 1427386705 | Barbara Joyce Miller | Chiropractor | 8709 Newbrook Lane, New Port Richey, FL 34654 | 2009-11-25 |
| 1447493077 | Tamberly Hope Segert | Assistant Behavior Analyst | 7326 Little Rd, New Port Richey, FL 34654 | 2009-04-13 |
| 1528273745 | Tharun Krishnamenon Chittayil | Pharmacist | 12021 Moon Lake Road, Winndixie Pharmacy Store #672, New Port Richey, FL 34654 | 2007-05-11 |
| 1811015571 | Michael C Savignano | Chiropractor | 7136 Little Road, New Port Richey, FL 34654 | 2007-03-27 |
| 1184780504 | Ladislaus J Dubovsky | Counselor | 10854 Telford St, New Port Richey, FL 34654 | 2006-12-29 |
| 1659466787 | Vincent Barth Azzue | Optometrist | 8505 Little Road, New Port Richey, FL 34654 | 2006-10-04 |
| Find all providers in zip 34654 | ||||
| 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 |
|---|---|---|---|---|
| 1881836195 | Premier Community Healthcare Group, Inc. | Clinic/Center | 2114 Seven Springs Blvd, Ste 300, New Port Richey, FL 34655-3908 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326132 | Foundcare Inc | Clinic/Center | 5867 Okeechobee Blvd, West Palm Beach, FL 33417-4344 | 2020-11-05 |
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34654 |
Please comment or provide details below to improve the information on PREMIER COMMUNITY HEALTHCARE GROUP, 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.