Premier Community Healthcare Group, Inc. | |
6860 Medical View Lane Zephyrhills FL 33542-6615 | |
(352) 518-2000 | |
(352) 567-0218 |
Full Name | Premier Community Healthcare Group, Inc. |
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Speciality | Clinic/Center |
Location | 6860 Medical View Lane, 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 |
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Premier Community Healthcare Group, Inc. Po Box 232 Dade City FL 33526-0232 Ph: (352) 518-2000 | Premier Community Healthcare Group, Inc. 6860 Medical View Lane Zephyrhills FL 33542-6615 Ph: (352) 518-2000 |
NPI Number | 1366882573 |
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Provider Enumeration Date | 07/02/2013 |
Last Update Date | 06/26/2023 |
Medicare PECOS PAC ID | 3476450818 |
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Medicare Enrollment ID | O20130923000077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366882573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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