| Healthmark Of Walton Rural Health Clinic Inc | |
|
4415 Us Highway 331 S Defuniak Springs FL 32435-6307 | |
| (850) 951-4640 | |
| (850) 892-7079 |
| Full Name | Healthmark Of Walton Rural Health Clinic Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 4415 Us Highway 331 S, Defuniak Springs, Florida |
| Authorized Official Name and Position | Lisa Shirley Holley (COO) |
| Authorized Official Contact | 8509514507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthmark Of Walton Rural Health Clinic Inc 4415 Us Highway 331 S Defuniak Springs FL 32435-6307 Ph: (850) 951-4640 | Healthmark Of Walton Rural Health Clinic Inc 4415 Us Highway 331 S Defuniak Springs FL 32435-6307 Ph: (850) 951-4640 |
| NPI Number | 1013908201 |
|---|---|
| Provider Enumeration Date | 11/04/2005 |
| Last Update Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013908201 | NPI | - | NPPES |
| 372384401 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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