TREASURE COAST COMMUNITY HEALTH INC
NPI 1659083319
Clinic/Center - Federally Qualified Health Center (FQHC) in Vero Beach, FL

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

Active since December 14, 2022CLIA 10D2119030 · Waiver

1555 INDIAN RIVER BLVD, VERO BEACH, FL 32960(772) 257-8224(772) 213-3157 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Treasure Coast Community Health Inc NPPES

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

TREASURE COAST COMMUNITY HEALTH INC (NPI 1659083319) is a healthcare organization registered as a federally qualified health center (fqhc) in Vero Beach, Florida and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through September 18, 2026 and lists Vicki Soule, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659083319

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameTREASURE COAST COMMUNITY HEALTH INC

Location Address1555 INDIAN RIVER BLVDVero Beach, FL 32960-5639

Mailing Address1545 9th St SwVero Beach, FL 32962-4312 · (772) 257-8224 · Fax (772) 213-3157

Phone(772) 257-8224

Fax(772) 213-3157

Organization SubpartYes

Authorized OfficialVicki SouleCeo · (772) 571-1986

Enumeration DateDecember 14, 2022

NPPES CertifiedDecember 1, 2022

✔ NPI 1659083319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

1555 INDIAN RIVER BLVD, Vero Beach, FL 32960

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CLIA Laboratory Certificates CMS CLIA

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 10D2119030

Treasure Coast Community Health Inc · Sebastian, FL

Active · expires Sep 18, 2026

CLIA Number10D2119030

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 19, 2024

Certificate Expiration DateSeptember 18, 2026

Laboratory DirectorJennifer S. Moore

Laboratory Phone(772) 571-1986

Laboratory LocationTreasure Coast Community Health Inc13505 Us Hwy 1, Sebastian, FL 32958

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 12

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

ANESTHESIA OF INDIAN RIVER INC

Anesthesiology (Pain Medicine)

1555 INDIAN RIVER BLVD, SUITE B-120
VERO BEACH, FL 32960

Indian River County (352) 867-8898

DONALD PORTELL D.O.

Anesthesiology