NPIMap

Organization Active NPI

Florida Community Health Centers, Inc.

Doing business as Grace Women's Health Center

  • Federally Qualified Health Center (FQHC)
  • Fort Pierce, FL
National Provider Identifier
1104250786
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FLORIDA COMMUNITY HEALTH CENTERS, INC.
Doing business as
Grace Women's Health Center
Practice address
714 Avenue C
Fort Pierce, FL 34950-4189
Phone
(772) 429-3400
Fax
(772) 225-2711
NPI assigned
Aug 30, 2013
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Dr. Wilhemina Lewis, MD
Title
President and Ceo
Phone
(561) 844-9443

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Obstetrics & Gynecology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0001X
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X

Addresses

Primary practice location

714 Avenue C
Fort Pierce, FL 34950-4189

Mailing address

5827 Corporate Way
West Palm Beach, FL 33407-2000
Phone (561) 844-9443

Other names 1

  • Grace Women's Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040515000037 FL Part B Supplier - Clinic/Group Practice 9931017126 Receives reassigned benefits from 95 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Okeechobee, FL; West Palm Beach, FL; Stuart, FL; Port St. Lucie, FL; Port St Lucie, FL; Pahokee, FL; Moore Haven, FL; Indiantown, FL…
O20140107001131 FL Part A Provider - Federally Qualified Health Center (FQHC) 9931017126 Practice locations: Fort Pierce, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104250786. Details of each certification follow.

Federally qualified health center certification: CCN 101139

Legal name
FLORIDA COMMUNITY HEALTH CENTERS INC
Doing business as
GRACE WOMEN'S HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 7, 2014
Last certification
Jan 7, 2014
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jun 14, 1976 in FL
Enrollment address
714 Avenue C
Fort Pierce, FL 34950-4189

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Florida Comm HLTH CT in21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

2402 Frist Blvd
Ste 202
Fort Pierce, FL 34950
Phone (772) 429-3400

9576 S US Highway 1
Ste 200
Port St Lucie, FL 34952

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Eutris Delancy Individual Corporate DirectorBoard Member Feb 1, 2017
Brian Rucks Individual Corporate DirectorBoard Member May 1, 2002
Margaret V Russell Individual Corporate OfficerCfo Feb 26, 2020
Maria Valdez Individual Corporate DirectorBoard Member Jul 1, 2023
Kenneth Mills Individual Corporate DirectorBoard Member May 1, 2012
Wilhelmina Lewis Individual Corporate DirectorChief Medical Officer Jan 2, 2011
Karen Cotton Individual Corporate DirectorChair Jan 1, 2003
Donald Hart Individual Corporate DirectorBoard Member Jul 1, 2022
Marcia Ann Marie Franklyn Individual Corporate DirectorBoard Member Jan 12, 2026
Linda Tapia Individual Operational/Managerial Control Feb 1, 2020
Annita McKnight Individual Corporate DirectorBoard Member Jan 12, 2026
Janet Taylor Individual Corporate DirectorTreasurer, Board Member Aug 1, 1994
Florida Community Health Centers Inc Organization, West Palm Beach, FL Corporation, Non-profit Operational/Managerial Control Apr 1, 2018

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pahokee CHCPahokee, FL, CCN 101809 Federally qualified health center Operational/Managerial Control Apr 1, 2018
Indiantown CenterIndiantown, FL, CCN 101858 Federally qualified health center Operational/Managerial Control Apr 1, 2018
Moore Haven CenterMoore Haven, FL, CCN 101100 Federally qualified health center Operational/Managerial Control Apr 1, 2018
Stuart CenterStuart, FL, CCN 101113 Federally qualified health center Operational/Managerial Control Apr 1, 2018
Darwin Square CenterPort St Lucie, FL, CCN 681038 Federally qualified health center Operational/Managerial Control Dec 29, 2015
Florida Community Health Centers IncFort Pierce, FL, CCN 681936 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2021
Florida Community Health Centers IncWest Palm Beach, FL, CCN 681951 Federally qualified health center Operational/Managerial Control Aug 1, 2021
Florida Community Health Centers IncPort St Lucie, FL, CCN 681955 Federally qualified health center Operational/Managerial Control Aug 1, 2021
Florida Community Health Centers IncBelle Glade, FL, CCN 101028 Federally qualified health center Operational/Managerial Control Sep 16, 2022
Florida Community Health Centers IncPort St Lucie, FL, CCN C11035 Federally qualified health center Operational/Managerial Control Jul 29, 2024

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1104250786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 CORPORATE WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072000",
            "telephone_number": "561-844-9443",
            "fax_number": "561-844-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 AVENUE C",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504189",
            "telephone_number": "772-429-3400",
            "fax_number": "772-225-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "WILHEMINA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "561-844-9443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Women's Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Women's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.