| Premier Community Healthcare Group, Inc. | |
|
300 S Main St Brooksville FL 34601-3320 | |
| (352) 518-2000 | |
| (352) 567-0218 |
| Full Name | Premier Community Healthcare Group, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 S Main St, Brooksville, 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. 300 S Main St Brooksville FL 34601-3320 Ph: (352) 518-2000 |
| NPI Number | 1306377643 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Medicare PECOS PAC ID | 3476450818 |
|---|---|
| Medicare Enrollment ID | O20170605001715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306377643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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