COMMUNITY HEALTH CENTER OF PINELLAS INC


Address: 612 Dr Martin L King St N, St Petersburg, FL 33705
Phone: 7278248181

COMMUNITY HEALTH CENTER OF PINELLAS INC (NPI# 1437550084) 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) 1437550084
Entity Type Organization
Organization Name COMMUNITY HEALTH CENTER OF PINELLAS INC
Other Organization Name COMMUNITY HEALTH CENTER AT ST PETERSBURG
Practice Address 612 Dr Martin L King St N
St Petersburg
FL 33705
Mailing Address Po Box 10549
St Petersburg
FL 33733-0549
Practice Telephone 7278248181
Mailing Telephone 7278248181
Enumeration Date 2014-09-12
Last Update Date 2019-12-11
Authorized Official Name ELODIE DORSO (CEO)
Authorized Official Telephone 7278248100
Is Organization Subpart Y
Parent Organization Name COMMUNITY HEALTH CENTER OF PINELLAS INC

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 029565521 05
FL 029565522 05

Other Provider/Organization Names

Other Name Type Code
Community Health Center at St Petersburg Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194282756 Community Health Center of Pinellas Inc Clinic/Center 3860 Tampa Rd Ste C, Oldsmar, FL 34677-3022 2019-03-01
1609384700 Community Health Center of Pinellas Inc Clinic/Center 4950 34th St N, St Petersburg, FL 33714-3031 2018-01-11
1467873315 Community Health Center of Pinellas Inc Family Medicine 5523 Roosevelt Blvd, Clearwater, FL 33760-3425 2013-12-19
1346228061 Community Health Center of Pinellas Inc Obstetrics & Gynecology 247 S Huey Ave, Tarpon Springs, FL 34689-4205 2006-01-03
1568440287 Community Health Center of Pinellas Inc Pediatrics 707 Druid Rd E, Clearwater, FL 33756-3951 2006-01-03
1255319976 Community Health Center of Pinellas Inc Family Medicine 12420 130th Ave, Largo, FL 33774-1950 2006-01-03
1194283382 Community Health Center of Pinellas Inc Clinic/Center 1344 22nd St S, St Petersburg, FL 33712-2744 2019-03-06
1578046512 Community Health Center of Pinellas Inc Pharmacy 7550 43rd St N, Pinellas Park, FL 33781-3601 2018-09-14
1427438043 Community Health Center of Pinellas Inc Clinic/Center 1721 Main St, Dunedin, FL 34698-6402 2015-06-09
1760807218 Community Health Center of Pinellas Inc Clinic/Center 702 Jasmine Way, Clearwater, FL 33756-3951 2014-02-20

Office Location

Street Address 612 DR MARTIN L KING ST N
City ST PETERSBURG
State FL
Zip Code 33705

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935781 Caressa Alice Slocum Psychologist 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 2020-09-01
1386133015 Angela Ann Little Social Worker 920 Country Club Way S, St Petersburg, FL 33705 2018-05-08
1497279483 Infinity Health Consultants, LLC. In Home Supportive Care 1001 27th Avenue South, St. Petersburg, FL 33705 2017-08-01
1801320528 Dedicated Senior Medical Center St. Petersburg, LLC. Non-Pharmacy Dispensing Site 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 2017-04-19
1790135762 Robin Dong Emergency Medicine 1095 5th Ave N, St. Petersburg, FL 33705 2016-06-20
1164851754 Jennifer Carey Counselor 11 Mlk Jr St South, St. Petersburg, FL 33705 2013-11-05
1750623997 Dannaly Reyes Baerga Physical Medicine & Rehabilitation 1201 5th Ave N Ste 202, St Petersburg, FL 33705 2013-03-26
1518209055 Nii Sai Torto Emergency Medicine 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 2013-03-22
1790034635 Melissa White Kidwell Physical Therapist 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 2012-09-06
1376891606 Altamease Caldwell Registered Nurse 1239 4th Street South, St.petersburg, FL 33705 2012-08-16
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609384700 Community Health Center of Pinellas Inc Clinic/Center 4950 34th St N, St Petersburg, FL 33714-3031 2018-01-11
1578644431 Bay Pines Va Health Care Systems Clinic/Center 1000 Bay Pines Blvd Dom C184, St Petersburg, FL 33744 2006-10-18
1194283382 Community Health Center of Pinellas Inc Clinic/Center 1344 22nd St S, St Petersburg, FL 33712-2744 2019-03-06
1518998731 Community Health Center of Pinellas Inc Clinic/Center 1344 22nd St S, St Petersburg, FL 33712-2744 2006-07-05

Providers in the same taxonomy and state

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

Search similar providers

City ST PETERSBURG
Zip Code 33705

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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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