Osceola Community Health Services @ Backlot | |
8600 W Irlo Bronson Memorial Hwy Kissimmee FL 34747-1001 | |
(407) 943-8600 | |
Not Available |
Full Name | Osceola Community Health Services @ Backlot |
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Speciality | Clinic/Center |
Location | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, Florida |
Authorized Official Name and Position | Belinda Johnson-cornett (CEO) |
Authorized Official Contact | 4079438600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Osceola Community Health Services @ Backlot 1503 Bill Beck Blvd Kissimmee FL 34744-9516 Ph: (407) 943-8600 | Osceola Community Health Services @ Backlot 8600 W Irlo Bronson Memorial Hwy Kissimmee FL 34747-1001 Ph: (407) 943-8600 |
NPI Number | 1679185292 |
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Provider Enumeration Date | 08/17/2020 |
Last Update Date | 08/05/2024 |
Medicare PECOS PAC ID | 4486923059 |
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Medicare Enrollment ID | O20221006003485 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679185292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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