NPIMap

Organization Active NPI

Interra Health Inc.

  • Primary Care Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1760035513
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INTERRA HEALTH INC.
Practice address
831 Simpson Rd
Kissimmee, FL 34744-5328
Phone
(407) 483-5757
Fax
(407) 483-5756
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Michelle D Ruth
Title
Implementation & Training Coord
Phone
(262) 375-2827

Specialties & licenses 1

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

Addresses

Primary practice location

831 Simpson Rd
Kissimmee, FL 34744-5328

Mailing address

8919 W Heather Ave
Milwaukee, WI 53224-2417
Phone (414) 375-1600

Other names 1

  • Center for Employee Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Interra Health Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1760035513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 W HEATHER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242417",
            "telephone_number": "414-375-1600",
            "fax_number": "414-375-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445328",
            "telephone_number": "407-483-5757",
            "fax_number": "407-483-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERRA HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "IMPLEMENTATION & TRAINING COORD",
        "authorized_official_telephone_number": "262-375-2827"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Employee Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.