First Community Health Medical Center, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FIRST COMMUNITY HEALTH MEDICAL CENTER, INC

Practice address

366 S Main St
Belle Glade, FL 33430-3428

Phone

(561) 317-4550

Fax

(561) 847-4574

NPI assigned

Aug 16, 2020

Last updated

Aug 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mireille Victor, APRNNPI 1740813591

Title

President

Phone

(561) 317-4550

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Mireille Victor, APRN

  • Primary Care Nurse Practitioner
  • Belle Glade, FL
  • NPI 1740813591
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597536000000",
    "number": "1700497393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 EMERALD VIS",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615382",
            "telephone_number": "561-317-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 S MAIN ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303428",
            "telephone_number": "561-317-4550",
            "fax_number": "561-847-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COMMUNITY HEALTH MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "MIREILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-317-4550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "infomedical@firstcommunityhealth.com",
            "affiliation": "N",
            "endpointDescription": "Secure ways for participants to communicate with each other",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "366 S Main St",
            "city": "Belle Glade",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334303428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monique Ettenne
• Evernorth Direct Health LLC
• Excellent Ultimate Medical Center, PLLC
• Leyda Monica Feola, RDH
• Alonso Fernandez, M.D.
• Richard A. Fisher, M.D.
• Flex 4 Medical Center, Corp (Cintex Community Health)
• Flex Medical, LLC
• Florida Community Health Centers, Inc.
• Florida Department of Health (Palm Beach County Health Department)

• Primary Care Clinic/Center in Belle Glade, FL
• Providers in Belle Glade, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.