| Vernon Clinic - Northwest Florida Community Hospital | |
|
3250 Main St Vernon FL 32462 | |
| (850) 535-2096 | |
| Not Available |
| Full Name | Vernon Clinic - Northwest Florida Community Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 3250 Main St, Vernon, Florida |
| Authorized Official Name and Position | Kathy Mitchell (BILLING SUPERVISOR) |
| Authorized Official Contact | 8504158184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon Clinic - Northwest Florida Community Hospital 3250 Main St Vernon FL 32462-2223 Ph: (850) 535-2096 | Vernon Clinic - Northwest Florida Community Hospital 3250 Main St Vernon FL 32462 Ph: (850) 535-2096 |
| NPI Number | 1134422470 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 09/01/2011 |
| Medicare PECOS PAC ID | 2668363771 |
|---|---|
| Medicare Enrollment ID | O20110718000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134422470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4005 (Florida) | Primary |
Ward Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3607 Roche Ave, Vernon, FL 32462 Phone: 850-547-3679 Fax: 855-492-6785 | |
Vernon Clinic-nfch Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3250 Main St, Vernon, FL 32462 Phone: 850-535-2096 |