COMMUNITY HEALTH CENTER OF PINELLAS INC (NPI# 1568440287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568440287 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF PINELLAS INC |
| Practice Address |
707 Druid Rd E Clearwater FL 33756-3951 |
| Mailing Address |
Po Box 10549 St Petersburg FL 33733-0549 |
| Practice Telephone | 7274611439 |
| Practice Fax Number | 7274437230 |
| Mailing Telephone | 7278248126 |
| Mailing Fax Number | 7278248166 |
| Enumeration Date | 2006-01-03 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029565501 | 05 | |
| FL | 060638301 | 05 |
| 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 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 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 |
| 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 |
| Street Address |
707 DRUID RD E |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902391303 | Keyshla Valera Moreno | Nurse Practitioner | 707 Druid Rd E, Clearwater, FL 33756-3913 | 2018-06-27 |
| 1205354214 | Emily Michelson | Nurse Practitioner | 707 Druid Rd E, Clearwater, FL 33756-3913 | 2017-08-30 |
| 1033585724 | Dmytro Sava | Nurse Practitioner | 707 Druid Rd E, Clearwater, FL 33756-3951 | 2015-08-17 |
| 1750776829 | Jeanette Rodriguez | Family Medicine | 707 Druid Rd E, Clearwater, FL 33756-3913 | 2015-04-05 |
| 1386085827 | Henry J Owens | Physician Assistant | 707 Druid Rd E, Clearwater, FL 33756-3951 | 2013-07-12 |
| 1336448794 | Glivery Mary Gayahan Elvambuena | Pediatrics | 707 Druid Rd E, Clearwater, FL 33756-3951 | 2011-03-23 |
| 1174770150 | Katina Monet Bonaparte | Family Medicine | 707 Druid Rd E, Clearwater, FL 33756-3951 | 2008-08-21 |
| 1316074479 | Drs. Howell, Whitehead and Associates, Pa | Dentist | 707 Druid Rd E, Clearwater, FL 33756-3951 | 2007-02-27 |
| 1174668008 | Billy Gene Whitehead Jr. | Dentist | 707 Druid Rd E, Clearwater, FL 33756-3951 | 2007-02-20 |
| 1902980717 | Amy J Gabriel | Obstetrics & Gynecology | 707 Druid Rd E, Clearwater, FL 33756-3951 | 2006-10-25 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| 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 |
|---|---|---|---|---|
| 1568947737 | Gracemed Health Clinic, Inc | Clinic/Center | 101 E Ross St, Clearwater, KS 67026-7824 | 2018-10-03 |
| 1760807218 | Community Health Center of Pinellas Inc | Clinic/Center | 702 Jasmine Way, Clearwater, FL 33756-3951 | 2014-02-20 |
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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 | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER OF PINELLAS INC.
| 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.