NPIMap

Organization Active NPI

Suncoast Community Health Centers, Inc

Doing business as Brandon Community Health Center

  • Primary Care Clinic/Center
  • Brandon, FL
National Provider Identifier
1689007080
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SUNCOAST COMMUNITY HEALTH CENTERS, INC
Doing business as
Brandon Community Health Center
Practice address
125 N Moon Ave Ste a
Brandon, FL 33510-4431
Phone
(813) 643-6690
NPI assigned
Aug 21, 2013
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Robert R Rosdriguez
Title
Cfo
Phone
(813) 349-7563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

125 N Moon Ave Ste a
Brandon, FL 33510-4431

Mailing address

125 N Moon Ave Ste a
Brandon, FL 33510-4431
Phone (813) 643-6690

Other names 1

  • Brandon Community Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Suncoast Community Health Centers Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

125 N Moon Ave
Ste A
Brandon, FL 33510
Phone (813) 643-6690

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1689007080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N MOON AVE STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104431",
            "telephone_number": "813-643-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N MOON AVE STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104431",
            "telephone_number": "813-643-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST COMMUNITY HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "ROSDRIGUEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-349-7563"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.