| Chautauqua Healthcare Services | |
|
3686 Us Highway 331 S Defuniak Springs FL 32435-8463 | |
| (850) 892-8045 | |
| Not Available |
| Full Name | Chautauqua Healthcare Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3686 Us Highway 331 S, Defuniak Springs, Florida |
| Authorized Official Name and Position | M Allison Hill (CEO) |
| Authorized Official Contact | 8504693500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chautauqua Healthcare Services 1221 W Lakeview Ave Pensacola FL 32501-1836 Ph: (850) 469-3500 | Chautauqua Healthcare Services 3686 Us Highway 331 S Defuniak Springs FL 32435-8463 Ph: (850) 892-8045 |
| NPI Number | 1831760800 |
|---|---|
| Provider Enumeration Date | 07/09/2021 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831760800 | NPI | - | NPPES |
| 060271000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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