| Premier Community Healthcare Group, Inc | |
|
38724 Mudcat Grant Blvd Dade City FL 33523 | |
| (352) 518-2000 | |
| (352) 567-1974 |
| Full Name | Premier Community Healthcare Group, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 38724 Mudcat Grant Blvd, Dade City, 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 38724 Mudcat Grant Blvd Dade City FL 33523 Ph: (352) 518-2000 |
| NPI Number | 1255738977 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 01/26/2015 |
| Medicare PECOS PAC ID | 3476450818 |
|---|---|
| Medicare Enrollment ID | O20150126002114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255738977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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