NPIMap

Organization Active NPI

Premier Community Healthcare Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Zephyrhills, FL
National Provider Identifier
1508445362
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PREMIER COMMUNITY HEALTHCARE GROUP, INC.
Practice address
38030 Daughtery Rd
Zephyrhills, FL 33540-1375
Phone
(352) 518-2000
Fax
(352) 567-0218
NPI assigned
Apr 7, 2021
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Joseph Resnick
Title
Ceo
Phone
(352) 518-2000

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

38030 Daughtery Rd
Zephyrhills, FL 33540-1375

Mailing address

PO Box 232
Dade City, FL 33526-0232
Phone (352) 518-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110225000334 FL Part A Provider - Federally Qualified Health Center (FQHC) 3476450818 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Zephyrhills, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508445362. Details of each certification follow.

Federally qualified health center certification: CCN 101064

Legal name
PREMIER COMMUNITY HEALTH CARE GROUP INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 19, 2011
Last certification
Jan 19, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 29, 1979 in FL
Enrollment address
38030 Daughtery Rd
Zephyrhills, FL 33540-1375

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Healthresource Alliance20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

37944 Church Ave
Dade City, FL 33525

37946 Church Ave
Dade City, FL 33525

6636 Forest Ave
New Port Richey, FL 34653

2114 Seven Springs Blvd
Trinity, FL 34655
Phone (727) 375-2719

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Joseph Resnick Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2014 100%
Corporate OfficerCeo Sep 1, 2014 100%
W-2 Managing EmployeeCeo Sep 1, 2014 100%

Practitioners & affiliated clinicians

Practitioners 89

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 89

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1508445362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335260232",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38030 DAUGHTERY RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335401375",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COMMUNITY HEALTHCARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-518-2000"
    },
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.