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COMMUNITY HOSPITAL FAMILY PRACTICE LLC NPI 1902094857


NPI Information

NPI: 1902094857
Provider Name: COMMUNITY HOSPITAL FAMILY PRACTICE LLC

Doing Business As: NORTHPOINTE PHYSICIANS GROUP

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 10D2104218

Address:
44 VETERANS AVE
BROOKSVILLE, FL
ZIP 34601
Phone: (352) 797-3500
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COMMUNITY HOSPITAL FAMILY PRACTICE LLC is a geriatric medicine family medicine in Brooksville, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. COMMUNITY HOSPITAL FAMILY PRACTICE LLC NPI is 1902094857. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northpointe Physicians Group.

The provider's business location address is:

44 VETERANS AVE
BROOKSVILLE, FL
ZIP 34601-215
Phone: (352) 797-3500
Fax: (352) 797-3526

The provider's authorized official is William Tederick Johnson .
The authorized official title is Vice President/ao and has the following contact phone number (615) 372-3375.

The CLIA number assigned to this NPI record is 10D2104218 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 10/21/2020.


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
1208600000XSurgeryFLORIDANo
2207QG0300XFamily MedicineGeriatric MedicineYes

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
1000801600MEDICAIDFLORIDA
2DO9676OTHERFLORIDAMEDICARE RAILROAD GROUP
300264OTHERFLORIDABCBS FL

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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