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SUNCOAST COMMUNITY HEALTH CENTER INC NPI 1609475466


NPI Information

NPI: 1609475466
Provider Name: SUNCOAST COMMUNITY HEALTH CENTER, INC

Doing Business As: PALM RIVER COMMUNITY HEALTH CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2074927

Address:
7728 PALM RIVER RD
TAMPA, FL
ZIP 33619
Phone: (813) 630-3600
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SUNCOAST COMMUNITY HEALTH CENTER, INC is a general practice in Tampa, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SUNCOAST COMMUNITY HEALTH CENTER, INC NPI is 1609475466. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Palm River Community Health Center.

The provider's business location address is:

7728 PALM RIVER RD
TAMPA, FL
ZIP 33619-215
Phone: (813) 630-3600
Fax: (866) 317-9074

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

The CLIA number assigned to this NPI record is 10D2074927 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2020 and was last updated on 11/3/2020.


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
1208D00000XGeneral PracticeYes
2261QP2300XClinic/CenterPrimary CareNo

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: 4/28/2024

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.