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FRIDLEY ROEMER HCS INC. NPI 1205807914


NPI Information

NPI: 1205807914
Provider Name: FRIDLEY ROEMER HCS, INC.

Doing Business As: FRIDLEY ROEMER HEALTH CARE SERVICES INC.

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
644 FLORIDA AVE
UNIT E
PANAMA CITY, FL
ZIP 32401
Phone: (850) 896-1387
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FRIDLEY ROEMER HCS, INC. is a clinic center in Panama City, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FRIDLEY ROEMER HCS, INC. NPI is 1205807914. The provider is registered as an organization entity type.
The provider Is Doing Business As Fridley Roemer Health Care Services Inc..

The provider's business location address is:

644 FLORIDA AVE
UNIT E
PANAMA CITY, FL
ZIP 32401-355
Phone: (850) 896-1387

The provider's authorized official is Linda Roemer .
The authorized official title is Owner/provider and has the following contact phone number (850) 896-1387.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 8/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNP1376612FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TRICARE STANDARDOTHERFLORIDA=========
2R49453OTHERNEW MEXICOSTATE LICENSE #
300200184549MEDICAIDFLORIDA
41376612OTHERFLORIDAMSC. IDENTIFIER STATE LIC
5Y6683OTHERFLORIDABLUE CROSS BLUE SHIELD

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: 11/14/2023

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