| Vernon Family Health Of Chipley | |
|
719 7th St Ste 2 Chipley FL 32428-1935 | |
| (850) 676-4287 | |
| (850) 676-4292 |
| Full Name | Vernon Family Health Of Chipley |
|---|---|
| Speciality | Clinic/Center |
| Location | 719 7th St Ste 2, Chipley, Florida |
| Authorized Official Name and Position | Dawn Rene' Frost (OWNER) |
| Authorized Official Contact | 8506764287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon Family Health Of Chipley 719 7th St Ste 2 Chipley FL 32428-1935 Ph: (850) 676-4287 | Vernon Family Health Of Chipley 719 7th St Ste 2 Chipley FL 32428-1935 Ph: (850) 676-4287 |
| NPI Number | 1326095944 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 11/07/2022 |
| Medicare PECOS PAC ID | 5597746446 |
|---|---|
| Medicare Enrollment ID | O20040526001011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326095944 | NPI | - | NPPES |
| 108989 | Other | FL | MEDICARE ID-RIVERBEND |
| 306088800 | Medicaid | FL | |
| 30289900 | Other | FL | MEDIPASS |
| Y9052 | Other | FL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | AR2003622 (Florida) | Secondary |
| Provider Name | Dawn R Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215981667 PECOS PAC ID: 9931180882 Enrollment ID: I20040528000208 |
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