WILLA CARSON HEALTH RESOURCE CENTER


Address: 1108 N Martin Luther King Jr Ave, Clearwater, FL 33755-3222
Phone: 7274679411

WILLA CARSON HEALTH RESOURCE CENTER (NPI# 1821320383) 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) 1821320383
Entity Type Organization
Organization Name WILLA CARSON HEALTH RESOURCE CENTER
Practice Address 1108 N Martin Luther King Jr Ave
Clearwater
FL 33755-3222
Practice Telephone 7274679411
Practice Fax Number 7274672771
Mailing Telephone 7274679411
Mailing Fax Number 7274672771
Enumeration Date 2010-02-09
Last Update Date 2010-02-09
Authorized Official Name ANNIE M. TYRELL (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7274679411
Authorized Official Credential RN, BSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center FL Ambulatory Health Care Facilities

Office Location

Street Address 1108 N MARTIN LUTHER KING JR AVE
City CLEARWATER
State FL
Zip Code 33755-3222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902180789 Willa Carson Health and Wellness Center General Practice 1108 N Martin Luther King Jr Ave, Clearwater, FL 33755-3222 2011-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861858987 Leslie S Coley Specialist 1484 Gulf To Bay Blvd Unit 4, Clearwater, FL 33755 2016-01-05
1336567981 Trish French Social Worker 117 N Betty Ln, Clearwater, FL 33755 2014-04-01
1255629986 Gulf Coast Occupational & Wellness Center, P.C. Clinic/Center 1407 Gulf -to-bay Blvd., Clearwater, FL 33755 2011-07-15
1346560729 Narconon Suncoast, Inc Substance Abuse Rehabilitation Facility 1390 Sunset Point Road, Clearwater, FL 33755 2010-06-08
1588994503 Rose Mary Baker Custodial Care Facility 1305 Woodbine St, Clearwater, FL 33755 2010-01-14
1407185317 Ade Kanmbi Alaba Pharmacist 1438 Gulf-to-bay Blvd, Clearwater, FL 33755 2009-12-24
1184706921 Brandy Jo Jennings Dental Hygienist 1455 Sunset Point Road, Clearwater, FL 33755 2006-10-20
1922013408 Hays S Estes Dpt Pllc Clinic/Center 1661 Rainbow Dr, Clearwater, FL 33755 2006-07-30
1932145323 Eric Isaac Egozi Plastic Surgery 1608 Gulf To Bay Blvd, Clearwater, FL 33755 2006-06-22
1053304022 Robert Donnelly Orthopaedic Surgery 1660 Gulf To Bay Blvd, Clearwater, FL 33755 2005-08-25
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659998060 Guidewell Emergency Medicine Doctors, LLC Clinic/Center 1603 Missouri Ave, Clearwater, FL 33756 2020-07-01
1255804290 Greenbrook Tms Clearwater LLC Clinic/Center 2963 Gulf To Bay Blvd Ste 250, Clearwater, FL 33759-4255 2019-01-02
1881121473 Kingdom Chiropractic Clinic/Center 1484 Gulf To Bay Blvd, Clearwater, FL 33755-5358 2017-05-15
1831579564 Clearwater Headache Center, LLC Clinic/Center 1289 Court St, Clearwater, FL 33756-5807 2015-06-08
1720118185 Dolphin Diagnostics, Inc Clinic/Center 1700 N Mcmullen Booth Rd Ste C5, Clearwater, FL 33759-2129 2007-03-06
1760518526 Miller Chiropractic & Medical Centers, Inc. Clinic/Center 3085 Roosevelt Blvd, Clearwater, FL 33760-3468 2007-02-26
1619058641 Mid Pinellas Medical Center Inc Clinic/Center 1531 S Missouri Ave, Clearwater, FL 33756-2236 2006-10-18
1033228648 Lifeworks Wellness Center, LLC Clinic/Center 301 Turner St, Clearwater, FL 33756-5326 2006-08-29
1558916494 Benjamin Devries Do LLC Clinic/Center 1573 S Fort Harrison Ave, Clearwater, FL 33756-2004 2019-08-07
1073179123 Tms Neurohealth Florida Pllc Clinic/Center 2963 Gulf To Bay Blvd Ste 250, Clearwater, FL 33759-4255 2019-05-14
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Competitor

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City CLEARWATER
Zip Code 33755

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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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