Suncoast Community Health Centers, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SUNCOAST COMMUNITY HEALTH CENTERS, INC

Practice address

1729 Lakeland Hills Blvd
Lakeland, FL 33805-3016

Phone

(863) 577-1956

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Robert R Rodriguez

Title

Cfo

Phone

(813) 349-7563

Specialties & licenses 1

Addresses

Other names 1

• SCHC Womens Care of Lakeland Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Federally qualified health center certification: CCN 101170

Legal name

SUNCOAST COMMUNITY HEALTH CENTERS INC

Doing business as

SCHC WOMENS CARE OF LAKELAND

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 6, 2014

Last certification

Aug 6, 2014

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

1729 Lakeland Hills Blvd
Lakeland, FL 33805-3016

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Dover, FL
  • NPI 1144230640

  3870402548

  Same PAC ID
• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Ruskin, FL
  • NPI 1285644799

  3870402548

  Same PAC ID
• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
  • NPI 1366391591

  3870402548

  Same PAC ID
• Suncoast Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Plant City, FL
  • NPI 1578573085

  3870402548

  Same PAC ID
• Suncoast Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
  • NPI 1477979748

  3870402548

  Same PAC ID
• Suncoast Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Wimauma, FL
  • NPI 1518388354

  3870402548

  Same PAC ID
• Suncoast Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Thonotosassa, FL
  • NPI 1609303734

  3870402548

  Same PAC ID
• Suncoast Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Brandon, FL
  • NPI 1669830832

  3870402548

  Same PAC ID

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Brian Michael Shaub, D.O.

  • Family Medicine Physician
  • Dover, FL
  • NPI 1992817498

  Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Lynn Emerson

  • Physician Assistant
  • Plant City, FL
  • NPI 1568152270
  NPD (past)

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1811240708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 ELK MOUNTAIN DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797182",
            "telephone_number": "813-349-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053016",
            "telephone_number": "863-577-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST COMMUNITY HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHC Womens Care of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCHC Womens Care of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Federally Qualified Health Center (FQHC) in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Federally Qualified Health Center (FQHC) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.