Tampa Community Health Centers, Inc. – Federally Qualified Health Center (FQHC), NPI 1417953571
Federally Qualified Health Center (FQHC)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Tampa Community Health Centers, Inc.
5 Tee Box, East Fletcher Avenue, Tampa, Hillsborough County, Florida, 33620, United States
TAMPA, FL 336822969
Phone: (813) 866-0930
Fax: (813) 866-0929
Type: Mailing
1502, East Fowler Avenue, Tampa, Hillsborough County, Florida, 33612, United States
TAMPA, FL 336125416
Phone: (813) 866-0930
Fax: (813) 866-0929
Type: Location
12410 N NEBRASKA AVE
TAMPA, FL 336125352
Phone: (813) 866-0930
Fax: (813) 866-0929
Type: Location
12410 N. NEBRASKA AVE
TAMPA, FL 336125416
Phone: (813) 866-0930
Fax: (813) 866-0929
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (983 days ago).
Enrollment records
2
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20071004000153 | O | Federally Qualified Health Center (Fqhc) | FL | 2023-09-30 |
| O20210719000154 | O | Federally Qualified Health Center (Fqhc) | FL | 2026-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33682)
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