NPIMap

Organization Active NPI

Suncoast Center for Community Mental Health

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
National Provider Identifier
1508025479
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1313431 Issued in FL
Legal business name
SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH
Practice address
3800 Central Ave
St Petersburg, FL 33711-1237
Phone
(727) 327-7656
Fax
(727) 323-2521
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Mr. Timothy Hudson
Title
Cfo
Phone
(727) 327-7656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1313431 FL Primary

Addresses

Primary practice location

3800 Central Ave
St Petersburg, FL 33711-1237

Mailing address

3800 Central Ave
St Petersburg, FL 33711-1237
Phone (727) 327-7656

Other identifiers 1

IdentifierTypeStateIssuer
670728968MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Suncoast Center Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

3800 Central Ave
St Petersburg, FL 33711
Phone (727) 323-2528

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1508025479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111237",
            "telephone_number": "727-327-7656",
            "fax_number": "727-323-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111237",
            "telephone_number": "727-327-7656",
            "fax_number": "727-323-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST CENTER FOR COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-327-7656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670728968",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.