OSCEOLA COMMUNITY HEALTH SERVICES AT POINCIAN – NPI #1710375456
Clinic/Center

OSCEOLA COMMUNITY HEALTH SERVICES AT POINCIAN is an AHC clinic located in KISSIMMEE, FL. NPPES has assigned the NPI number 1710375456 to OSCEOLA COMMUNITY HEALTH SERVICES AT POINCIAN on January 05, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OSCEOLA COMMUNITY HEALTH SERVICES AT POINCIAN” is a dba name, the actual legal business name for this organization is PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Aug 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OSCEOLA COMMUNITY HEALTH SERVICES AT POINCIAN below.

NPI Profile for
PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC

NPI Number
1710375456
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC
Doing Business As (dba): OSCEOLA COMMUNITY HEALTH SERVICES AT POINCIAN
Primary location
109 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Phone: (407) 943-8600 Fax:
Mailing address
1503 BILL BECK BLVD
KISSIMMEE, FL 34744-9516
Phone: (407) 943-8600 Fax:
Organization Subpart
No
Authorized Official
BELINDA JOHNSON-CORNETT
CEO
Phone: (407) 943-8600
Updated
Certification Date
Aug 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for OSCEOLA COMMUNITY HEALTH SERVICES AT POINCIAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL000835600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.