| Osceola Community Health Services At St Cloud | |
|
1050 Grape Ave Saint Cloud FL 34769-3965 | |
| (407) 943-8699 | |
| Not Available |
| Full Name | Osceola Community Health Services At St Cloud |
|---|---|
| Speciality | Clinic/Center |
| Location | 1050 Grape Ave, Saint Cloud, Florida |
| Authorized Official Name and Position | Belinda Johnson-cornett (CEO) |
| Authorized Official Contact | 4079438600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osceola Community Health Services At St Cloud 1503 Bill Beck Blvd Kissimmee FL 34744-9516 Ph: (407) 943-8600 | Osceola Community Health Services At St Cloud 1050 Grape Ave Saint Cloud FL 34769-3965 Ph: (407) 943-8699 |
| NPI Number | 1801284443 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 08/05/2024 |
| Medicare PECOS PAC ID | 4486923059 |
|---|---|
| Medicare Enrollment ID | O20170713001394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801284443 | NPI | - | NPPES |
| 000835600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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