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SUNCOAST COMMUNITY HEALTH CENTERS INC NPI 1073057964


NPI Information

NPI: 1073057964
Provider Name: SUNCOAST COMMUNITY HEALTH CENTERS, INC

Doing Business As: BRANDON COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
313 S LAKEWOOD DR
BRANDON, FL
ZIP 33511
Phone: (813) 349-7900
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SUNCOAST COMMUNITY HEALTH CENTERS, INC is a dental clinic center in Brandon, FL. SUNCOAST COMMUNITY HEALTH CENTERS, INC NPI is 1073057964. The provider is registered as an organization entity type.
The provider Is Doing Business As Brandon Community Health Center.

The provider's business location address is:

313 S LAKEWOOD DR
BRANDON, FL
ZIP 33511-815
Phone: (813) 349-7900
Fax: (813) 938-6426

The provider's authorized official is Robert R Rodriguez .
The authorized official title is Cfo and has the following contact phone number (813) 349-7563.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 12/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1029557409MEDICAIDFLORIDA
2101169MEDICARE OSCAR/CERTIFICATIONFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.