Frederiksted Health Care, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

FREDERIKSTED HEALTH CARE, INC.

Doing business as

Mid-Island Health Center

Practice address

4100 Sion Farm Shopp Ctr Ste 5
Christiansted, VI 00820-4433

Phone

(340) 772-0260

NPI assigned

Mar 6, 2019

Last updated

Sep 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Masserae E Webster

Title

Chief Executive Officer

Phone

(340) 772-1992

Specialties & licenses 1

Addresses

Other names 1

• Mid-Island Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003374380. Details of each certification follow.

• CCN 481803 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 481803

Legal name

FREDERIKSTED HEALTH CARE, INC.

Doing business as

MID-ISLAND HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 13, 2019

Last certification

Jun 13, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

4100 Sion Farm Commercial Center
Ste 5 & 6
Christiansted, VI 8204383

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Frederiksted Health Care, Inc.

  dba North Shore Health Center

  • Federally Qualified Health Center (FQHC)
  • Christiansted, VI
  • NPI 1164842050

  7911818778

  Same PAC ID
• Frederiksted Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frederiksted, VI
  • NPI 1437215134

  7911818778

  Same PAC ID

Tax ID family

Frederiksted Health Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Frederiksted Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Christiansted, VI
  • NPI 1083528749
  NPD tax ID
• Frederiksted Health Care, Inc.

  • Clinical Medical Laboratory
  • Frederiksted, VI
  • NPI 1952588139
  NPD tax ID
• Frederiksted Healthcare, Inc.

  • Clinical Medical Laboratory
  • Frederiksted, VI
  • NPI 1407973431
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEAGDD

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1003374380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "FREDERIKSTED",
            "state": "VI",
            "postal_code": "008411198",
            "telephone_number": "340-772-0260",
            "fax_number": "340-772-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SION FARM SHOPP CTR STE 5",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204433",
            "telephone_number": "340-772-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIKSTED HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "MASSERAE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "340-772-1992"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Island Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Max Fishkin
• Maia Foley
• Foot and Ankle Pain Management
• Foot and Ankle Pain Specialists
• Laura Forbes, RPH.
• Frederiksted Health Care, Inc.
• Frederiksted Health Care, Inc. (North Shore Health Center)
• Lenecia Fregiste
• Rosaria Beatrice Fritz, M.S., CCC-SLP, TSHH
• Andre A Galiber, M.D.

• Federally Qualified Health Center (FQHC) in Christiansted, VI
• Providers in Christiansted, VI by specialty
• Federally Qualified Health Center (FQHC) in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.