Northwest Florida Healthcare, Inc. | |
101 E Wisconsin Ave Bonifay FL 32425-1809 | |
(850) 547-2209 | |
(850) 547-4521 |
Full Name | Northwest Florida Healthcare, Inc. |
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Speciality | Clinic/Center |
Location | 101 E Wisconsin Ave, Bonifay, Florida |
Authorized Official Name and Position | Marcey Lynn Morgan (SENIOR ACCOUNTANT) |
Authorized Official Contact | 8504158127 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northwest Florida Healthcare, Inc. 1360 Brickyard Rd Chipley FL 32428-6303 Ph: (850) 415-8127 | Northwest Florida Healthcare, Inc. 101 E Wisconsin Ave Bonifay FL 32425-1809 Ph: (850) 547-2209 |
NPI Number | 1528691102 |
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Provider Enumeration Date | 02/21/2020 |
Last Update Date | 02/21/2020 |
Medicare PECOS PAC ID | 2668363771 |
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Medicare Enrollment ID | O20200303000431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528691102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | George L Sanchez |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1588741037 PECOS PAC ID: 9537573399 Enrollment ID: I20210208000325 |
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