| Community Rural Health Inc | |
|
899 N Summit St Crescent City FL 32112-2109 | |
| (386) 698-1088 | |
| (386) 698-1099 |
| Full Name | Community Rural Health Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 899 N Summit St, Crescent City, Florida |
| Authorized Official Name and Position | Adam M Eldick (CEO) |
| Authorized Official Contact | 3866981088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Rural Health Inc 899 N Summit St Crescent City FL 32112-2109 Ph: (386) 698-1088 | Community Rural Health Inc 899 N Summit St Crescent City FL 32112-2109 Ph: (386) 698-1088 |
| NPI Number | 1427238468 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 03/19/2009 |
| Medicare PECOS PAC ID | 4789741786 |
|---|---|
| Medicare Enrollment ID | O20090318000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427238468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0064833 (Florida) | Primary |
| Provider Name | Moustafa M Eldick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962592907 PECOS PAC ID: 7113074469 Enrollment ID: I20090402000560 |
| Provider Name | Michael A Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225262108 PECOS PAC ID: 5698912517 Enrollment ID: I20130514000438 |
Sunrise Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 N Summit St, Crescent City, FL 32112 Phone: 386-698-2279 Fax: 386-698-2239 | |
T R Suggs Md Medical Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Main St, Crescent City, FL 32112 Phone: 386-698-1221 Fax: 386-698-1514 | |
Aza Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 Union Ave, Crescent City, FL 32112 Phone: 386-698-1232 Fax: 386-698-4154 | |
Sunrise Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 N Summit St, Crescent City, FL 32112 Phone: 386-698-2279 Fax: 386-698-2239 | |
Sunrise Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 North Summit St, Crescent City, FL 32112 Phone: 386-698-2279 Fax: 386-698-2239 | |
John F Hull Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 N Summit St, Crescent City, FL 32112 Phone: 386-698-2101 Fax: 386-698-2364 |