PREMIER COMMUNITY HEALTHCARE GROUP INC NPI 1841263399

NPI Information

NPI: 1841263399
Provider Name: PREMIER COMMUNITY HEALTHCARE GROUP INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
14027 5TH ST
DADE CITY, FL
ZIP 33525
Phone: (352) 518-2000
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PREMIER COMMUNITY HEALTHCARE GROUP INC is a federally qualified health center (fqhc) clinic center in Dade City, FL. PREMIER COMMUNITY HEALTHCARE GROUP INC NPI is 1841263399. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14027 5TH ST
DADE CITY, FL
ZIP 33525-302
Phone: (352) 518-2000
Fax: (352) 567-0218

The provider's authorized official is Jennifer Maffett .
The authorized official title is Health Data Analyst and has the following contact phone number (352) 518-2000.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 10/9/2019.

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	208D00000X	General Practice				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	029550700	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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