Primary Care Medical Services of Poinciana Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC

Doing business as

Osceola Community Health Services

Practice address

700 Generation PT
Kissimmee, FL 34744-5957

Phone

(407) 943-8600

NPI assigned

Mar 6, 2020

Organization subpart

No

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

Authorized official

Name

Belinda Johnson-Cornett

Title

Ceo

Phone

(407) 943-8600

Specialties & licenses 1

Addresses

Other names 1

• Osceola Community Health Services Doing business as

Locations

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1457986788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 FORTUNE RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444428",
            "telephone_number": "407-943-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GENERATION PT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445957",
            "telephone_number": "407-943-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-CORNETT",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-943-8600"
    },
    "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": "Osceola Community Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Osceola Community Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Primary Care & Aesthetics of Central Florida LLC (Medi-Sthetic)
• Primary Care in the Home, Inc
• Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services @ BVL)
• Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services at Fortune Rd)
• Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services)
• Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services Mobile Unit)
• Primary Care Medical Services of Poinciana Inc
• Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services @ Orange Blossam Trail)
• Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services @ Backlot)
• Primary Care Medical Services of Poinciana Inc (Osceola Community Health Services at Poincian)

• Federally Qualified Health Center (FQHC) in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Federally Qualified Health Center (FQHC) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.