| Premier Community Healthcare Group Inc | |
|
37840 Medical Arts Ct Zephyrhills FL 33541-4325 | |
| (352) 518-2000 | |
| (352) 567-5455 |
| Full Name | Premier Community Healthcare Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 37840 Medical Arts Ct, Zephyrhills, Florida |
| Authorized Official Name and Position | Joseph Resnick (CEO) |
| Authorized Official Contact | 3525182000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Community Healthcare Group Inc Po Box 232 Dade City FL 33526-0232 Ph: (352) 518-2000 | Premier Community Healthcare Group Inc 37840 Medical Arts Ct Zephyrhills FL 33541-4325 Ph: (352) 518-2000 |
| NPI Number | 1316919491 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 05/28/2024 |
| Medicare PECOS PAC ID | 3476450818 |
|---|---|
| Medicare Enrollment ID | O20190513000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316919491 | NPI | - | NPPES |
| 029550702 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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