| Citrus Springs Rural Health Clinic | |
|
10489 N Florida Ave Citrus Springs FL 34434-3268 | |
| (352) 489-2486 | |
| (352) 489-5786 |
| Full Name | Citrus Springs Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 10489 N Florida Ave, Citrus Springs, Florida |
| Authorized Official Name and Position | Alex Villacastin (PHYSICIAN) |
| Authorized Official Contact | 3524892486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Springs Rural Health Clinic Po Box 640573 Beverly Hills FL 34464-0573 Ph: (352) 746-1558 | Citrus Springs Rural Health Clinic 10489 N Florida Ave Citrus Springs FL 34434-3268 Ph: (352) 489-2486 |
| NPI Number | 1336287457 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/27/2008 |
| Medicare PECOS PAC ID | 9032023221 |
|---|---|
| Medicare Enrollment ID | O20090409000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336287457 | NPI | - | NPPES |
| 660075101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | ME0071085 (Florida) | Primary |