| Langley Health Services | |
|
547 Se Fort Island Trl Ste E Crystal River FL 34429-8905 | |
| (352) 793-5900 | |
| (352) 793-6269 |
| Full Name | Langley Health Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 547 Se Fort Island Trl Ste E, Crystal River, Florida |
| Authorized Official Name and Position | Thomas Chase (CEO) |
| Authorized Official Contact | 3527935900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Langley Health Services 1425 S Us Hwy 301 Sumterville FL 33585-5141 Ph: (352) 793-5900 | Langley Health Services 547 Se Fort Island Trl Ste E Crystal River FL 34429-8905 Ph: (352) 793-5900 |
| NPI Number | 1629573779 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 12/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629573779 | NPI | - | NPPES |
| 681136 | Other | MEDICARE FIRST COAST PART A | |
| 029547731 | Medicaid | FL | |
| K2260 | Other | MEDICARE FIRST COAST PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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