TREASURE COAST COMMUNITY HEALTH INC (NPI# 1891740916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891740916 |
| Entity Type | Organization |
| Organization Name | TREASURE COAST COMMUNITY HEALTH INC |
| Practice Address |
12196 County Road 512 Fellsmere FL 32948-5463 |
| Mailing Address |
1555 Indian River Blvd Ste 210 Vero Beach FL 32960-5639 |
| Practice Telephone | 7722578224 |
| Practice Fax Number | 7722133157 |
| Mailing Telephone | 7722578224 |
| Mailing Fax Number | 7722133157 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-04-20 |
| Authorized Official Name | MS. VICKI SOULE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7725711986 |
| 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 | 680005000 | 05 | |
| FL | 680005003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093266793 | Treasure Coast Community Health Inc | Clinic/Center | 44 N Pine St, Fellsmere, FL 32948-5944 | 2016-10-18 |
| 1376010504 | Treasure Coast Community Health Inc | Clinic/Center | 787 37th St Ste 140, Vero Beach, FL 32960-7305 | 2018-10-25 |
| 1912458613 | Treasure Coast Community Health Inc | Clinic/Center | 1545 9th St Sw, Vero Beach, FL 32962-4312 | 2016-10-18 |
| 1649721341 | Treasure Coast Community Health Inc | Clinic/Center | 1553 Us Highway 1, Vero Beach, FL 32960-5735 | 2016-10-18 |
| 1194274720 | Treasure Coast Community Health Inc | Clinic/Center | 13505 Us Highway 1, Sebastian, FL 32958-3759 | 2016-09-23 |
| 1205385838 | Treasure Coast Community Health Inc | Clinic/Center | 1955 21st Ave, Vero Beach, FL 32960-3091 | 2016-09-23 |
| 1639452451 | Treasure Coast Community Health Inc | Pharmacy | 1545 9th St Sw, Vero Beach, FL 32962-4312 | 2011-09-28 |
| 1992003099 | Treasure Coast Community Health Inc | Pharmacy | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2011-03-14 |
| Street Address |
12196 COUNTY ROAD 512 |
| City | FELLSMERE |
| State | FL |
| Zip Code | 32948-5463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306827704 | Humberto Posada | Obstetrics & Gynecology | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2005-11-11 |
| 1760937627 | Amber Rowe | Dentist | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2016-08-22 |
| 1891049284 | Lisa Cynthia Hage | Pediatrics | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2012-11-07 |
| 1457607160 | Anneliese Trull | Physician Assistant | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2012-07-31 |
| 1265706980 | Regina Therese Larkin | Nurse Practitioner | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2012-02-27 |
| 1215206081 | Lana Taylor | Social Worker | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2011-12-22 |
| 1992003099 | Treasure Coast Community Health Inc | Pharmacy | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2011-03-14 |
| 1558590851 | Cristen Marie Dietz | Dentist | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2009-07-08 |
| 1477791630 | Vivienne M Clarke | Pediatrics | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2009-01-27 |
| 1891966719 | Luis Huberto Hernandez Rojas | Nurse Practitioner | 12196 County Road 512, Fellsmere, FL 32948-5463 | 2008-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241404 | Mariela Sanchez | Massage Therapist | 62 Sonrise Sq, Fellsmere, FL 32948-5347 | 2020-10-01 |
| 1255540902 | Dawn M Fassett | Nursing Care | 65 Sonrise Sq, Apt. 101, Fellsmere, FL 32948-5350 | 2007-05-21 |
| 1518170653 | Matoga Jones | Licensed Practical Nurse | 66 Sonrise Sq, Fellsmere, FL 32948-5351 | 2007-05-07 |
| 1619952132 | Linda R Hart | Registered Nurse | 12416 91st St, Fellsmere, FL 32948-5521 | 2005-12-07 |
| 1487733697 | Lr Hart LLC | Registered Nurse | 12416 91st St, Fellsmere, FL 32948-5521 | 2006-11-06 |
| 1093266793 | Treasure Coast Community Health Inc | Clinic/Center | 44 N Pine St, Fellsmere, FL 32948-5944 | 2016-10-18 |
| 1740449511 | Saint Lucie Pediatrics Inc. | Pediatrics | 32 N Broadway St, Fellsmere, FL 32948-6601 | 2008-06-05 |
| 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 |
|---|---|---|---|---|
| 1093266793 | Treasure Coast Community Health Inc | Clinic/Center | 44 N Pine St, Fellsmere, FL 32948-5944 | 2016-10-18 |
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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.