PREMIER COMMUNITY HEALTH CARE GROUP, INC. (NPI# 1881928869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881928869 |
| Entity Type | Organization |
| Organization Name | PREMIER COMMUNITY HEALTH CARE GROUP, INC. |
| Practice Address |
37944 Pasco Ave Dade City FL 33525-4202 |
| Mailing Address |
Po Box 232 Dade City FL 33526-0232 |
| Practice Telephone | 3525182000 |
| Practice Fax Number | 3525182000 |
| Mailing Telephone | 3525182000 |
| Mailing Fax Number | 3525675193 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | JOSEPH RESNICK (CEO) |
| Authorized Official Telephone | 3525182000 |
| 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 | 029550700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919491 | Premier Community Health Care Group, Inc. | General Practice | 37840 Medical Arts Ct, Zephyrhills, FL 33541-4325 | 2006-02-03 |
| Street Address |
37944 PASCO AVE |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558354209 | Margaret Mauricio | Dentist | 37944 Pasco Ave, Dade City, FL 33525-4202 | 2005-08-29 |
| 1174057525 | Jennifer Laurel | Dental Hygienist | 37944 Pasco Ave, Suite B, Dade City, FL 33525-4202 | 2017-04-12 |
| 1538601455 | Christopher John Karapasha | Dentist | 37944 Pasco Ave, Dade City, FL 33525-4202 | 2016-11-09 |
| 1154614071 | Cary Acosta | Social Worker | 37944 Pasco Ave, Dade City, FL 33525-4202 | 2011-05-25 |
| 1700947660 | Thanh Pham | Dentist | 37944 Pasco Ave, Dade City, FL 33525-4202 | 2006-12-13 |
| 1962462036 | Jose R. Peralta | Dentist | 37944 Pasco Ave, Dade City, FL 33525-4202 | 2006-03-24 |
| 1134191216 | Rhonda Cameron | Psychologist | 37944 Pasco Ave, Dade City, FL 33525-4202 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| 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 |
|---|---|---|---|---|
| 1255738977 | Premier Community Healthcare Group, Inc | Clinic/Center | 38724 Mudcat Grant Blvd, Dade City, FL 33523 | 2014-11-24 |
| 1649882945 | Premier Community Healthcare Group, Inc | Clinic/Center | 37615 Martin Luther King Blvd, Dade City, FL 33523-3099 | 2020-08-18 |
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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.