| Pemhs, Inc. | |
|
11254 58th St Pinellas Park FL 33782-2213 | |
| (727) 545-6477 | |
| (727) 552-2463 |
| Full Name | Pemhs, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11254 58th St, Pinellas Park, Florida |
| Authorized Official Name and Position | Jerry Wennlund (CHEIF OPERATING OFFICER) |
| Authorized Official Contact | 7275456477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pemhs, Inc. 11254 58th St Pinellas Park FL 33782-2213 Ph: (727) 545-6477 | Pemhs, Inc. 11254 58th St Pinellas Park FL 33782-2213 Ph: (727) 545-6477 |
| NPI Number | 1992743652 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 11/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992743652 | NPI | - | NPPES |
| 060522116 | Medicaid | FL | |
| 060522104 | Medicaid | FL | |
| 060522100 | Medicaid | FL | |
| 060522106 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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