WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC NPI 1538349469

NPI Information

NPI: 1538349469
Provider Name: WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
41 FELI WAY
CRAWFORDVILLE, FL
ZIP 32327
Phone: (850) 926-3140
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WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC is a rural health clinic center in Crawfordville, FL. WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC NPI is 1538349469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

41 FELI WAY
CRAWFORDVILLE, FL
ZIP 32327-368
Phone: (850) 926-3140
Fax: (850) 926-3163

The provider's authorized official is David A Keen .
The authorized official title is Manager and has the following contact phone number (850) 926-3140.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 2/20/2014.

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	207P00000X	Emergency Medicine				No
2	208D00000X	General Practice				No
3	261QR1300X	Clinic/Center	Rural Health	CCN 10-3815	FLORIDA	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
1	103815	MEDICARE PIN	FLORIDA
2	002074401	MEDICAID	FLORIDA
3	002074400	MEDICAID	FLORIDA
4	K9759	MEDICARE PIN	FLORIDA
5	D20751	MEDICARE UPIN	FLORIDA
6	275271900	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: 5/5/2024

NPI Synchronization or Removal

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