INTERRA HEALTH INC. (NPI# 1760035513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760035513 |
Entity Type | Organization |
Organization Name | INTERRA HEALTH INC. |
Practice Address |
831 Simpson Rd Kissimmee FL 34744-5328 |
Mailing Address |
8919 W Heather Ave Milwaukee WI 53224-2417 |
Practice Telephone | 4074835757 |
Practice Fax Number | 4074835756 |
Mailing Telephone | 4143751600 |
Mailing Fax Number | 4143751636 |
Enumeration Date | 2019-07-22 |
Last Update Date | 2019-07-22 |
Authorized Official Name | MICHELLE D RUTH (IMPLEMENTATION & TRAINING COORD) |
Authorized Official Telephone | 2623752827 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Center for Employee Health | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043703838 | Interra Health Inc. | Clinic/Center | 5 Innovation Ct Ste B, Appleton, WI 54914-1739 | 2018-06-07 |
1407307374 | Interra Health Inc. | Clinic/Center | 120 Brost Dr, Morrison, TN 37357-1500 | 2016-10-17 |
1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
1700335288 | Interra Health Inc. | Clinic/Center | 1675 N Barker Rd, Suite 200, Brookfield, WI 53045-5200 | 2016-09-26 |
1073067013 | Interra Health Inc. | Clinic/Center | N4993 6th Dr, Westfield, WI 53964-8200 | 2016-08-08 |
1952896409 | Interra Health Inc. | Clinic/Center | 292 Ohio St, Oshkosh, WI 54902-5825 | 2018-06-27 |
1538652144 | Interra Health Inc. | Clinic/Center | 3003 Breezewood Ln, Neenah, WI 54956-9611 | 2018-06-08 |
Street Address |
831 SIMPSON RD |
City | KISSIMMEE |
State | FL |
Zip Code | 34744-5328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760754170 | Jason Tyler Cirolia | Physical Therapist | 831 Simpson Rd, Kissimmee, FL 34744-5328 | 2012-01-31 |
1104240035 | Lesley Randoll | Nurse Practitioner | 831 Simpson Rd, Kissimmee, FL 34744-5328 | 2014-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
1871126722 | Orlando Therapy Services LLC | Speech-Language Pathologist | 2815 Flamvoyan Street, Kissimmee, FL 34744 | 2020-02-19 |
1083197941 | Marilyn Mendez | Behavior Technician | 678 Cornestone Dr, Kissimmee, FL 34744 | 2018-09-07 |
1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
1831698661 | Ramirez and Poulos M.d. P.a. | Ophthalmology | 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 | 2018-02-07 |
1548702517 | Laura L Wheeler | Counselor | 600 N Thacker, D63, Kissimmee, FL 34744 | 2016-11-08 |
1275992950 | Judith Ambrose | Case Management | 1320 N Main Street, Suite B, Saint Cloud, FL 34744 | 2016-02-23 |
1043685258 | Oreida Hernandez De Morissette | Case Management | 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 | 2015-12-14 |
1780062232 | Martin Alfredo Rosell | Hearing Instrument Specialist | 806 N Main Street, Kissimmee, FL 34744 | 2015-05-15 |
Find all providers in zip 34744 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326442005 | Chappel Group, LLC | Clinic/Center | 2711 N Orange Blossom Trail, Kissimmee, FL 34744-1373 | 2014-10-09 |
1942500855 | Plaza De La Salud Pllc | Clinic/Center | 2635 Boggy Creek Rd, Kissimmee, FL 34744-4101 | 2010-10-25 |
1346472446 | Chamber of Medicine P.a. | Clinic/Center | 327 W Cypress St, Kissimmee, FL 34741 | 2009-08-22 |
1356967475 | Vida Medical Clinic LLC | Clinic/Center | 1952 E Osceola Pkwy, Kissimmee, FL 34743-8626 | 2020-06-24 |
1710522289 | Horizon On Granada, LLC | Clinic/Center | 1653 Regal Oak Dr, Kissimmee, FL 34744-6644 | 2019-11-08 |
1134687197 | Lmt Preventive Medical Services LLC | Clinic/Center | 4545 Pleasant Hill Rd Ste 112, Kissimmee, FL 34759-3400 | 2019-03-08 |
1215495346 | Prevention Medical Services Usa LLC | Clinic/Center | 4545 Pleasant Hill Rd Ste 112, Kissimmee, FL 34759-3400 | 2019-03-07 |
1588132559 | Renee Margarita Perocier. Pa | Clinic/Center | 4545 Pleasant Hill Rd Ste 112, Kissimmee, FL 34759-3400 | 2018-11-08 |
1629550785 | Cfi Medical Services, Inc | Clinic/Center | 721 Oak Commons Blvd, Kissimmee, FL 34741-4186 | 2018-09-05 |
1942795869 | St Peter Medical Group Inc. | Clinic/Center | 339 Cypress Pkwy Ste 110, Kissimmee, FL 34759 | 2018-06-23 |
Find all providers in KISSIMMEE |
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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.