| Four Freedoms Health Service | |
|
235 Sw Dade St Madison FL 32340-2363 | |
| (850) 973-8851 | |
| (850) 973-8158 |
| Full Name | Four Freedoms Health Service |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 235 Sw Dade St, Madison, Florida |
| Authorized Official Name and Position | Patrick Halfhill (CFO) |
| Authorized Official Contact | 8509731366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Freedoms Health Service 309 Ne Marion St Madison FL 32340-2511 Ph: (850) 973-8851 | Four Freedoms Health Service 235 Sw Dade St Madison FL 32340-2363 Ph: (850) 973-8851 |
| NPI Number | 1891792917 |
|---|---|
| Provider Enumeration Date | 07/05/2005 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891792917 | NPI | - | NPPES |
| 660093000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | G04999021597 (Florida) | Primary |
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