NPIMap

Organization Active NPI

Community Health Centers of Pinellas Inc.

  • Federally Qualified Health Center (FQHC)
  • Clearwater, FL
National Provider Identifier
1194282756
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTERS OF PINELLAS INC.
Practice address
26286 US Highway 19 N Ste B
Clearwater, FL 33761-4506
Phone
(727) 824-8100
NPI assigned
Mar 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Edward Kucher
Title
Chief Regulatory Officer
Phone
(727) 824-8100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

26286 US Highway 19 N Ste B
Clearwater, FL 33761-4506

Mailing address

14100 58TH St N Ste 100
Clearwater, FL 33760-9900
Phone (727) 824-8181

Other identifiers 2

IdentifierTypeStateIssuer
029565530MedicaidFL
029565529MedicaidFL

Other names 2

  • Evara Health Doing business as
  • Evara Health at Countryside Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040131000031 FL Part B Supplier - Clinic/Group Practice 8527961028 Receives reassigned benefits from 135 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Largo, FL; Tarpon Springs, FL; St Petersburg, FL; Saint Petersburg, FL; Pinellas Park, FL; Dunedin, FL; Clearwater, FL
O20190516000182 FL Part A Provider - Federally Qualified Health Center (FQHC) 8527961028 Practice locations: Clearwater, FL

Federally qualified health center certification: CCN 681145

Legal name
COMMUNITY HEALTH CENTER OF PINELLAS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 16, 2019
Last certification
May 16, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 14, 1980 in FL
Enrollment address
26286 US Highway 19 N
Clearwater, FL 33761-4506

Other NPIs with the same Medicare PAC ID 19

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

View all 19

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
Community Health Center24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

3860 Tampa Rd
Ste C
Oldsmar, FL 34677

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Joseph Smith Individual Corporate DirectorVice Chair Apr 8, 2019
Elodie Dorso Individual Corporate OfficerCeo Feb 28, 2018
Alberto Lense Individual Corporate DirectorBoard Member Apr 8, 2019
Cindy McNulty Individual Corporate DirectorSecertary Apr 8, 2019
Frances Serrano Lux Individual Corporate DirectorChair Apr 8, 2019
Edward Kucher Individual Corporate OfficerCoo Feb 27, 2017
W-2 Managing Employee Feb 27, 2017

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1194282756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 58TH ST N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337609900",
            "telephone_number": "727-824-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26286 US HIGHWAY 19 N STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614506",
            "telephone_number": "727-824-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF PINELLAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "KUCHER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF REGULATORY OFFICER",
        "authorized_official_telephone_number": "727-824-8100"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029565530",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029565529",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evara Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evara Health at Countryside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.