PREMIER COMMUNITY HEALTHCARE GROUP, INC. (NPI# 1306377643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306377643 |
| Entity Type | Organization |
| Organization Name | PREMIER COMMUNITY HEALTHCARE GROUP, INC. |
| Practice Address |
300 S Main St Brooksville FL 34601-3320 |
| Mailing Address |
Po Box 232 Dade City FL 33526-0232 |
| Practice Telephone | 3525182000 |
| Practice Fax Number | 3525670218 |
| Mailing Telephone | 3525182000 |
| Mailing Fax Number | 3525670218 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932630282 | Premier Community Healthcare Group, Inc. | Clinic/Center | 7551 Forest Oaks Blvd, Spring Hill, FL 34606-2437 | 2017-03-27 |
| 1366882573 | Premier Community Healthcare Group, Inc. | Clinic/Center | 38030 Daughtery Rd, Zephyrhills, FL 33540-1375 | 2013-07-02 |
| 1881836195 | Premier Community Healthcare Group, Inc. | Clinic/Center | 2114 Seven Springs Blvd, Ste 300, New Port Richey, FL 34655-3908 | 2009-04-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREMIER COMMUNITY HEALTHCARE GROUP, INC. | 37912 Church Ave, Dade City, FL 33525-4302 |
| Street Address |
300 S MAIN ST |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033593322 | Jennifer Pardee | Nurse Practitioner | 300 S Main St, Brooksville, FL 34601-3320 | 2015-07-16 |
| 1053621540 | Susan Marie Zanatta | Dietitian, Registered | 300 S Main St, Brooksville, FL 34601-3320 | 2010-10-18 |
| 1538482088 | Heather Kathleen Brosi | Nutritionist | 300 S Main St, Brooksville, FL 34601-3320 | 2010-03-11 |
| 1629307541 | Phoebe A Johnson | Nurse Practitioner | 300 S Main St, Brooksville, FL 34601-3320 | 2009-12-24 |
| 1326276684 | Sandra J. Cadena | Nurse Practitioner | 300 S Main St, Brooksville, FL 34601-3320 | 2009-06-25 |
| 1962668459 | Valerie B Cullum | Dietitian, Registered | 300 S Main St, Brooksville, FL 34601-3320 | 2008-08-04 |
| 1114144011 | Kimmarie Lopez | Registered Nurse | 300 S Main St, Brooksville, FL 34601-3320 | 2007-04-20 |
| 1407811847 | Sara Louise Bartos | Dietitian, Registered | 300 S Main St, Brooksville, FL 34601-3320 | 2006-04-19 |
| 1790747137 | Materesa T Guerrero | Pediatrics | 300 S Main St, Brooksville, FL 34601-3320 | 2006-04-03 |
| 1710955000 | Bruce Allen Schwartz | Dentist | 300 S Main St, Brooksville, FL 34601-3320 | 2006-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1699253666 | Shedding Light Counseling 'llc' | Counselor | 24059 Cortez Blvd, Brooksville, FL 34601 | 2018-08-01 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| Find all providers in zip 34601 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 | BROOKSVILLE |
| Zip Code | 34601 |
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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.