PANHANDLE RURAL HEALTH & PRIMARY CARE INC NPI 1588295752

NPI Information

NPI: 1588295752
Provider Name: PANHANDLE RURAL HEALTH & PRIMARY CARE INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
20274 CENTRAL AVE W
BLOUNTSTOWN, FL
ZIP 32424
Phone: (850) 353-7689
Get Directions

PANHANDLE RURAL HEALTH & PRIMARY CARE INC is a rural health clinic center in Blountstown, FL. PANHANDLE RURAL HEALTH & PRIMARY CARE INC NPI is 1588295752. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20274 CENTRAL AVE W
BLOUNTSTOWN, FL
ZIP 32424-957
Phone: (850) 353-7689
Fax: (850) 674-8889

The provider's authorized official is Ronald Gilbert Watson .
The authorized official title is Owner/provider and has the following contact phone number (850) 353-7689.

The enumeration date for this NPI number is 1/28/2020 and was last updated on 2/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110740900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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