SUNCOAST COMMUNITY HEALTH CENTERS, INC (NPI# 1609303734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609303734 |
| Entity Type | Organization |
| Organization Name | SUNCOAST COMMUNITY HEALTH CENTERS, INC |
| Other Organization Name | THONOTOSASSA COMMUNITY HEALTH CENTER |
| Practice Address |
9555 E Fowler Ave Thonotosassa FL 33592-2139 |
| Mailing Address |
13110 Elk Mountain Dr Riverview FL 33579-7182 |
| Practice Telephone | 8136536100 |
| Mailing Telephone | 8133497588 |
| Mailing Fax Number | 8133497596 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2019-06-11 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NA | 9999 | 01 |
| Other Name | Type Code |
|---|---|
| Thonotosassa Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1518388354 | Suncoast Community Health Centers, Inc | Clinic/Center | 5121 State Road 674, Wimauma, FL 33598-3515 | 2013-12-20 |
| 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 |
9555 E FOWLER AVE |
| City | THONOTOSASSA |
| State | FL |
| Zip Code | 33592-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760514004 | Jorge J Villalba | Psychiatry & Neurology | 12245 Broadwater Loop, Thonotosassa, FL 33592 | 2007-03-12 |
| 1730571852 | Oliver Buchanan | Custodial Care Facility | 11750 Sterling Rd, Thonotosassa, FL 33592-2122 | 2015-02-26 |
| 1437585932 | Ruby Francis | Custodial Care Facility | 11806 Sterling Rd, Thonotosassa, FL 33592-2124 | 2013-09-17 |
| 1154713279 | Ruby Francis | Custodial Care Facility | 11806 Sterling Rd, Thonotosassa, FL 33592-2124 | 2015-02-26 |
| 1821646258 | Corquisha Mosley | Home Health Aide | 9409 Bethune Dr, Thonotosassa, FL 33592-2130 | 2019-08-28 |
| 1952495640 | Elaine Marie Mccarter | Pharmacy Technician | 9535 East Fowler Av., Thonotosassa, FL 33592-2139 | 2006-10-03 |
| 1255352555 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 9535 E Fowler Ave, Thonotosassa, FL 33592-2139 | 2006-07-21 |
| 1376655993 | Mopelola Daudu | Pharmacist | 9535 E Fowler Ave, Thonotosassa, FL 33592-2139 | 2006-08-31 |
| 1922443456 | Rj Enterprizes | Private Vehicle | 12966 Morris Bridge Rd, Lot #10, Thonotosassa, FL 33592-2444 | 2013-05-10 |
| 1457745515 | Connie Davis | Counselor | 9917 Ramshorn St, Thonotosassa, FL 33592-2465 | 2015-03-26 |
| Find all providers in zip 33592 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 | THONOTOSASSA |
| Zip Code | 33592 |
Please comment or provide details below to improve the information on SUNCOAST COMMUNITY 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.