| Panhandle Rural Health & Primary Care Inc | |
|
20274 Central Ave W Blountstown FL 32424-1957 | |
| (850) 353-7689 | |
| (850) 674-8889 |
| Full Name | Panhandle Rural Health & Primary Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20274 Central Ave W, Blountstown, Florida |
| Authorized Official Name and Position | Ronald Gilbert Watson (OWNER/PROVIDER) |
| Authorized Official Contact | 8503537689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panhandle Rural Health & Primary Care Inc 20274 Central Ave W Blountstown FL 32424-1957 Ph: (850) 353-7689 | Panhandle Rural Health & Primary Care Inc 20274 Central Ave W Blountstown FL 32424-1957 Ph: (850) 353-7689 |
| NPI Number | 1588295752 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 02/09/2024 |
| Medicare PECOS PAC ID | 6002238516 |
|---|---|
| Medicare Enrollment ID | O20200629002912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588295752 | NPI | - | NPPES |
| 110740900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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