Bonifay Rural Health Clinic | |
2910 Hospital Dr Ste A Bonifay FL 32425-4268 | |
(850) 547-8158 | |
Not Available |
Full Name | Bonifay Rural Health Clinic |
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Speciality | Nurse Practitioner |
Location | 2910 Hospital Dr Ste A, Bonifay, Florida |
Authorized Official Name and Position | Huy Nguyen (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8505478003 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bonifay Rural Health Clinic Po Box 188 Bonifay FL 32425-0188 Ph: (850) 547-8003 | Bonifay Rural Health Clinic 2910 Hospital Dr Ste A Bonifay FL 32425-4268 Ph: (850) 547-8158 |
NPI Number | 1952917015 |
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Provider Enumeration Date | 09/23/2020 |
Last Update Date | 04/08/2022 |
Medicare PECOS PAC ID | 3375557887 |
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Medicare Enrollment ID | O20201123000128 |
Identifier | Type | State | Issuer |
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1952917015 | NPI | - | NPPES |
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