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).
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 |
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 |
---|---|---|---|
FL | 000835600 | 05 |
Other Name | Type Code |
---|---|
Osceola Community Health Services at St Cloud | Doing Business As Name - Organization |
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 |
Street Address |
1050 GRAPE AVE |
City | SAINT CLOUD |
State | FL |
Zip Code | 34769-3965 |
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 |
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 |
Find all providers in zip 34769 |
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 |
---|---|---|---|---|
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 | SAINT CLOUD |
Zip Code | 34769 |
Please comment or provide details below to improve the information on PRIMARY CARE MEDICAL SERVICES OF POINCIANA.
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.