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CYPRESS HEALTH SYSTEMS FLORIDA INC. NPI 1629247259


NPI Information

NPI: 1629247259
Provider Name: CYPRESS HEALTH SYSTEMS FLORIDA INC.

Doing Business As: TRI COUNTY FAMILY HEALTH SERVICES-WILLISTON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
125 SW 7TH ST
WILLISTON, FL
ZIP 32696
Phone: (352) 528-2801
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CYPRESS HEALTH SYSTEMS FLORIDA INC. is a rural health clinic center in Williston, FL. CYPRESS HEALTH SYSTEMS FLORIDA INC. NPI is 1629247259. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri County Family Health Services-williston.

The provider's business location address is:

125 SW 7TH ST
WILLISTON, FL
ZIP 32696-403
Phone: (352) 528-2801
Fax: (352) 528-3824

The provider's authorized official is Jerry E Gillman .
The authorized official title is Ceo and has the following contact phone number (352) 528-2801.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 11/23/2010.


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
1261QR1300XClinic/CenterRural Health4424FLORIDAYes

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
1332OTHERFLORIDABCBS OF FL
272816OTHERFLORIDABLUE CROSS
3660137500MEDICAIDFLORIDA
4103421MEDICARE PINFLORIDA
5103421MEDICARE OSCAR/CERTIFICATIONFLORIDA

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: 5/5/2024

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