Active NPI
Primary Care Medical Services of Poinciana Inc
- Federally Qualified Health Center (FQHC)
- Kissimmee, FL
National Provider Identifier
1639760804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC
- Practice address
- 201 Hilda Street Suite 25
Kissimmee, FL 34741 - Phone
- (407) 943-8600
- NPI assigned
- Feb 1, 2021
- Organization subpart
- Yes
- Parent organization
- PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
201 Hilda Street Suite 25
Kissimmee, FL 34741
Mailing address
1503 Bill Beck Blvd
Kissimmee, FL 34744-9516
Phone (407) 943-8600
Other names 1
- Osceola Community Health Services @ Orange Blossam Trail
National Provider Directory
National Provider Directory- Part of
- Primary Care Medical Services of Poinciana Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1639760804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 BILL BECK BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347449516",
"telephone_number": "407-943-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HILDA STREET SUITE 25",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34741",
"telephone_number": "407-943-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRIMARY CARE MEDICAL SERVICES OF POINCIANA INC",
"enumeration_date": "2021-02-01",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"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 @ Orange Blossam Trail",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Osceola Community Health Services @ Orange Blossam Trail",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kissimmee, FL
- Primary Care Medical Services of Poinciana Inc
- Primary Care Medical Services of Poinciana Inc
- Primary Care Medical Services of Poinciana Inc
- Primary Care Medical Services of Poinciana Inc
- Primary Care Medical Services of Poinciana Inc
- Primary Care Medical Services of Poinciana Inc
- Primary Care Medical Services of Poinciana Inc
- Primary Care Medical Services of Poinciana Inc
- Primary Care Medical Services of Poinciana Inc
- Primary Care Medical Services of Poinciana, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.