| Chiefland Medical Center Llc | |
|
1113 Nw 23rd Ave Chiefland FL 32626-1911 | |
| (352) 493-9500 | |
| (352) 493-7070 |
| Full Name | Chiefland Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1113 Nw 23rd Ave, Chiefland, Florida |
| Authorized Official Name and Position | John L Connole (EXEC DIRECTOR) |
| Authorized Official Contact | 3524939500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiefland Medical Center Llc 1113 Nw 23rd Ave Chiefland FL 32626-1911 Ph: (352) 493-9500 | Chiefland Medical Center Llc 1113 Nw 23rd Ave Chiefland FL 32626-1911 Ph: (352) 493-9500 |
| NPI Number | 1184674384 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 09/20/2007 |
| Medicare PECOS PAC ID | 6406809433 |
|---|---|
| Medicare Enrollment ID | O20050302000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184674384 | NPI | - | NPPES |
| 21419 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | HCC4256 (Florida) | Primary |
Family And After Hours Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1413 Nw 23rd Ave, Chiefland, FL 32626 Phone: 352-493-9393 Fax: 352-493-9390 | |
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