Organization Active NPI

City of Dunedin

  • Federally Qualified Health Center (FQHC)
  • Dunedin, FL
National Provider Identifier
1750919791
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CITY OF DUNEDIN
Practice address
1042 Virginia St
Dunedin, FL 34698-7325
Phone
(727) 298-3095
NPI assigned
Mar 27, 2020
Last updated
Mar 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Martin Vilimek
Title
Training Chief
Phone
(727) 298-3095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1042 Virginia St
Dunedin, FL 34698-7325

Mailing address

750 Milwaukee Ave
Dunedin, FL 34698-7160

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2064979City of Dunedin in Fire Dept1042 Virginia St, Dunedin, FL 34698Certificate of waiverAug 29, 2027

National Provider Directory

National Provider Directory

Locations

1042 Virginia St
Dunedin, FL 34698
Phone (727) 298-3095

750 Milwaukee Ave
Dunedin, FL 34698

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1750919791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MILWAUKEE AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987325",
            "telephone_number": "727-298-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DUNEDIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "VILIMEK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "TRAINING CHIEF",
        "authorized_official_telephone_number": "727-298-3095"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.