North Florida Rural Health Corp | |
680 Maple St Chattahoochee FL 32324-1826 | |
(850) 999-3181 | |
Not Available |
Full Name | North Florida Rural Health Corp |
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Speciality | Clinic/Center |
Location | 680 Maple St, Chattahoochee, Florida |
Authorized Official Name and Position | Traci Thompson (CMO) |
Authorized Official Contact | 4104933901 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Florida Rural Health Corp 600 34th St S Saint Petersburg FL 33711-1722 Ph: (850) 999-3181 | North Florida Rural Health Corp 680 Maple St Chattahoochee FL 32324-1826 Ph: (850) 999-3181 |
NPI Number | 1912641341 |
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Provider Enumeration Date | 04/22/2022 |
Last Update Date | 02/20/2024 |
Medicare PECOS PAC ID | 4082068168 |
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Medicare Enrollment ID | O20230922001527 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912641341 | NPI | - | NPPES |
Provider Name | Traci Lynn Thompson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740351782 PECOS PAC ID: 8123017159 Enrollment ID: I20041112000864 |
Provider Name | Ronsha A Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801285051 PECOS PAC ID: 3971892399 Enrollment ID: I20160525000188 |
Provider Name | Danielle Hammons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598319246 PECOS PAC ID: 9436588951 Enrollment ID: I20200612001426 |
Provider Name | Lillie Ruth Green |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205435641 PECOS PAC ID: 7618244583 Enrollment ID: I20221223000003 |
Provider Name | Michael F Battle |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1124042783 PECOS PAC ID: 9436402922 Enrollment ID: I20231109002928 |
Provider Name | Kelissa Huggins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245005974 PECOS PAC ID: 0345689238 Enrollment ID: I20240411001346 |
Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 High St, Chattahoochee, FL 32324 Phone: 850-663-4643 |