NPIMap

Organization Active NPI

Centerplace Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sarasota, FL
National Provider Identifier
1053984351
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTERPLACE HEALTH, INC.
Practice address
1750 17TH St Ste N
Sarasota, FL 34234-8690
Phone
(941) 529-0200
NPI assigned
Jul 23, 2021
Organization subpart
Yes
Parent organization
CENTERPLACE HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Christa Sue Carter
Title
Financial Controller
Phone
(941) 529-0243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1750 17TH St Ste N
Sarasota, FL 34234-8690

Mailing address

1750 17TH St Ste N
Sarasota, FL 34234-8690
Phone (941) 529-0200

Other identifiers 2

IdentifierTypeStateIssuer
025148207MedicaidFL
025148206MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ATHENA CenterPlace Health, Inc

National Provider Directory

National Provider Directory
Tax ID family
Centerplace Health Inc7 organizations share this tax ID, including this one
Part of
Centerplace Health Inc

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1053984351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 17TH ST STE N",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342348690",
            "telephone_number": "941-529-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 17TH ST STE N",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342348690",
            "telephone_number": "941-529-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPLACE HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERPLACE HEALTH, INC.",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "941-529-0243"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025148207",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025148206",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ATHENA",
            "affiliation": "Y",
            "affiliationName": "CenterPlace Health, Inc",
            "address_1": "2200 Ringling Blvd",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342376102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.