SPACE COAST HEALTH CENTERS INC
NPI 1144819319
Clinic/Center - Federally Qualified Health Center (FQHC) in Titusville, FL

Active since January 13, 2021CLIA Certified · 2 labs
951 N WASHINGTON AVE STE 100, TITUSVILLE, FL 32796(386) 852-9565 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, Jan 13, 2021 (2 updates tracked since 2021).

About Space Coast Health Centers Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPACE COAST HEALTH CENTERS INC (NPI 1144819319) is a healthcare organization registered as a federally qualified health center (fqhc) in Titusville, Florida and active in the NPI registry since January 2021. The organization holds 2 active CLIA laboratory certificates and lists Arvin Lewis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144819319
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSPACE COAST HEALTH CENTERS INC
Location Address951 N WASHINGTON AVE STE 100Titusville, FL 32796-2163
Mailing Address951 N Washington Ave Ste 100Titusville, FL 32796-2163 · (386) 852-9565
Organization SubpartNo
Authorized OfficialArvin LewisCeo · (321) 268-6836
Enumeration DateJanuary 13, 2021
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
NPI 1144819319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
951 N WASHINGTON AVE STE 100, Titusville, FL 32796

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2225899

Space Coast Health Centers Inc · Titusville, FL
Active · expires May 24, 2027
CLIA Number10D2225899
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorZackary Besner
Laboratory Phone(321) 268-6836
Laboratory LocationSpace Coast Health Centers Inc836 Century Medical Dr, Titusville, FL 32796
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2225916

Space Coast Health Center Inc · Cocoa, FL
Active · expires May 24, 2027
CLIA Number10D2225916
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorZackary Besner
Laboratory Phone(321) 268-6836
Laboratory LocationSpace Coast Health Center Inc5005 Port St John Pkwy Suite 2400, Cocoa, FL 32927
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Emergency)
951 N WASHINGTON AVE STE 100
TITUSVILLE, FL 32796
Nurse Practitioner (Family)
951 N WASHINGTON AVE STE 100
TITUSVILLE, FL 32796

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Space Coast Health Centers Inc's NPI number?

The NPI number for Space Coast Health Centers Inc is 1144819319. It was assigned to this organization in the NPPES registry on January 13, 2021.

Where is Space Coast Health Centers Inc located?

Space Coast Health Centers Inc is located at 951 N Washington Ave Ste 100, Titusville, FL 32796. The listed phone number is (386) 852-9565.

What is Space Coast Health Centers Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Space Coast Health Centers Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Space Coast Health Centers Inc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Space Coast Health Centers Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Space Coast Health Centers Inc was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.