WHOLE FAMILY HEALTH CENTER, INC. (NPI# 1750860938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750860938 |
Entity Type | Organization |
Organization Name | WHOLE FAMILY HEALTH CENTER, INC. |
Practice Address |
981 37th Pl Vero Beach FL 32960-6541 |
Mailing Address |
827 18th St Vero Beach FL 32960-6481 |
Practice Telephone | 7722575785 |
Practice Fax Number | 7722575325 |
Mailing Telephone | 7729258190 |
Mailing Fax Number | 7729258199 |
Enumeration Date | 2018-08-09 |
Last Update Date | 2020-02-04 |
Authorized Official Name | MARIE ANDRESS (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 7729258200 |
Is Organization Subpart | Y |
Parent Organization Name | WHOLE FAMILY HEALTH CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 022558503 | 05 | |
FL | 251948802 | 05 | |
FL | 022558502 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578612883 | Whole Family Health Center, Inc. | General Practice | 725 N Us Highway 1, Fort Pierce, FL 34950 | 2007-01-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | WHOLE FAMILY HEALTH CENTER, INC. | 827 18th St, Vero Beach, FL 32960-6481 |
Street Address |
981 37TH PL |
City | VERO BEACH |
State | FL |
Zip Code | 32960-6541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285631515 | Ronald M. Goodman | Family Medicine | 981 37th Pl, Vero Beach, FL 32960-6541 | 2005-07-01 |
1144712712 | Megha Patel | Pharmacist | 981 37th Pl, Vero Beach, FL 32960-6541 | 2018-05-30 |
1538525027 | Claire Staley | Pharmacist | 981 37th Pl, Vero Beach, FL 32960-6541 | 2016-01-13 |
1750756185 | Whole Family Health Center | Pharmacy | 981 37th Pl, Vero Beach, FL 32960-6541 | 2015-12-10 |
1962885723 | Tiffany Poisson | Physician Assistant | 981 37th Pl, Vero Beach, FL 32960-6541 | 2015-06-29 |
1396157756 | Whole Family Health Center | Clinic/Center | 981 37th Pl, Vero Beach, FL 32960-6541 | 2014-05-20 |
1538500665 | Sara Joy Dingwall | Pharmacist | 981 37th Pl, Vero Beach, FL 32960-6541 | 2013-07-17 |
1902120009 | Jill Smith | Massage Therapist | 981 37th Pl, Vero Beach, FL 32960-6541 | 2010-03-17 |
1689840605 | Monisola O Oni | Internal Medicine | 981 37th Pl, Vero Beach, FL 32960-6541 | 2008-04-30 |
1871765768 | Paul Raymond Hebig | Psychiatry & Neurology | 981 37th Pl, Vero Beach, FL 32960-6541 | 2008-03-31 |
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---|---|---|---|---|
1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
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Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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City | VERO BEACH |
Zip Code | 32960 |
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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.