Organization Name: | SUNCOAST COMMUNITY HEALTH CENTERS INC |
NPI Number: | 1104836600 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT R RODRIGUEZ (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 2814 14th Avenue Se Ruskin |
State: | FL US |
Postal Code: | 33570 |
Phone Number: | 8133497568 |
Fax Number: | 8133497561 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 07/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |