| Crestview Health Center | |
|
800 Hospital Dr Crestview FL 32539-7385 | |
| (850) 423-4603 | |
| (850) 423-0473 |
| Full Name | Crestview Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 800 Hospital Dr, Crestview, Florida |
| Authorized Official Name and Position | Lane Miller Lunn (PRESIDENT/CEO) |
| Authorized Official Contact | 8503854494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestview Health Center 2804 Remington Green Cir Ste 2 Tallahassee FL 32308-1550 Ph: (850) 385-4494 | Crestview Health Center 800 Hospital Dr Crestview FL 32539-7385 Ph: (850) 423-4603 |
| NPI Number | 1982920906 |
|---|---|
| Provider Enumeration Date | 04/15/2010 |
| Last Update Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982920906 | NPI | - | NPPES |
| 693564800 | Medicaid | FL | |
| 693564802 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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