PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC – NPI #1982002945
Clinic/Center

PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC is an AHC clinic located in KISSIMMEE, FL. NPPES has assigned the NPI number 1982002945 to PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC on December 08, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC is also known by the name OSCEOLA COMMUNITY HEALTH SERVICES AT STADIUM PLACE. 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 PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC below.

NPI Profile for
PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC

NPI Number
1982002945
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
Other Name: OSCEOLA COMMUNITY HEALTH SERVICES AT STADIUM PLACE
Primary location
1501-1507 BILL BECK BLVD
KISSIMMEE, FL 34744
Phone: (407) 943-8600 Fax:
Mailing address
1503 BILL BECK BLVD
KISSIMMEE, FL 34744-9516
Phone: (407) 943-8600 Fax: (407) 932-5140
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 PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC

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.