PRIMARY CARE MEDICAL SERVICES OF POINCIANA


Address: 1050 Grape Ave, Saint Cloud, FL 34769-3965
Phone: 4079438699

PRIMARY CARE MEDICAL SERVICES OF POINCIANA (NPI# 1801284443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801284443
Entity Type Organization
Organization Name PRIMARY CARE MEDICAL SERVICES OF POINCIANA
Other Organization Name OSCEOLA COMMUNITY HEALTH SERVICES AT ST CLOUD
Practice Address 1050 Grape Ave
Saint Cloud
FL 34769-3965
Mailing Address 1875 Fortune Rd
Kissimmee
FL 34744-4428
Practice Telephone 4079438699
Mailing Telephone 4073432000
Enumeration Date 2015-01-06
Last Update Date 2016-08-25
Authorized Official Name BELINA JOHNSON-CORNETT (CHD ADMINISTRATOR)
Authorized Official Telephone 4073432000
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
FL 000835600 05

Other Provider/Organization Names

Other Name Type Code
Osceola Community Health Services at St Cloud Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144733031 Primary Care Medical Services of Poinciana Clinic/Center 2622 Simpson Rd, Kissimmee, FL 34744-4674 2017-11-14
1710375456 Primary Care Medical Services of Poinciana Clinic/Center 109 N Doverplum Ave, Kissimmee, FL 34758 2015-01-05
1962890723 Primary Care Medical Services of Poinciana Clinic/Center 1703 Business Center Ln, Kissimmee, FL 34758-1801 2015-01-02
1982002945 Primary Care Medical Services of Poinciana Clinic/Center 1501-1503 Bill Beck Blvd, Kissimmee, FL 34744 2014-12-08
1043873342 Primary Care Medical Services of Poinciana Clinic/Center 1501-1507 Bill Beck Blvd, Kissimmee, FL 34744 2019-04-22
1376093609 Primary Care Medical Services of Poinciana Clinic/Center 1875 Fortune Rd, Kissimmee, FL 34744-4428 2016-10-11

Office Location

Street Address 1050 GRAPE AVE
City SAINT CLOUD
State FL
Zip Code 34769-3965

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396801569 Osceola County Health Dept Physician Assistant 1050 Grape Ave, Saint Cloud, FL 34769-3965 2006-12-29
1225051568 Carmelita Ocampo Nicdao Obstetrics & Gynecology 1050 Grape Ave, Saint Cloud, FL 34769-3965 2006-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053877506 Premier Med Pa Clinic/Center 2906 17th St., St Cloud, FL 34769 2019-02-20
1760975387 Mayra Rosado Psychologist Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 2018-06-08
1598282113 Salud Urgent Care LLC Clinic/Center 3107 13th Street, Saint Cloud, FL 34769 2017-08-24
1710332671 American Healthcare Community Behavioral Services LLC Social Worker 1203 Florida Ave., St. Cloud, FL 34769 2016-04-28
1215395785 Elite Garden Assisted Living Facility 4319 Neptune Road, St Cloud, FL 34769 2016-01-29
1336506732 Adventist Health System/sunbelt, Inc. Clinic/Center 4660 13th Street, St. Cloud, FL 34769 2016-01-15
1306202064 Megan Rose Mcclave Registered Nurse 524 13th Street, St. Cloud, FL 34769 2016-01-12
1821473133 Angela Creager Counselor 446 Hamilton Park Circle, St. Cloud, FL 34769 2015-07-28
1730574906 Jordico LLC Assisted Living Facility 4417 13th Street, Suite 142, Saint Cloud, FL 34769 2015-04-03
1255731667 Judimar Rodriguez Behavioral Analyst 1605 Eastern Ave, Saint Cloud, FL 34769 2014-09-04
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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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
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Competitor

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City SAINT CLOUD
Zip Code 34769

Improve Information

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Dataset Information

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.

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