| Southern Family Healthcare, P.a. | |
|
877 3rd St Ste 4 Chipley FL 32428-1855 | |
| (850) 638-4383 | |
| (850) 415-6783 |
| Full Name | Southern Family Healthcare, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 877 3rd St Ste 4, Chipley, Florida |
| Authorized Official Name and Position | William Mark Garney (PRESIDENT) |
| Authorized Official Contact | 8506385512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Family Healthcare, P.a. 877 3rd St Ste 4 Chipley FL 32428-1855 Ph: (850) 638-4383 | Southern Family Healthcare, P.a. 877 3rd St Ste 4 Chipley FL 32428-1855 Ph: (850) 638-4383 |
| NPI Number | 1154533677 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 10/18/2017 |
| Medicare PECOS PAC ID | 2668380924 |
|---|---|
| Medicare Enrollment ID | O20021118000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154533677 | NPI | - | NPPES |
| 660167700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (Florida) | Secondary |
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