| Panhandle Rural Health Incorporated | |
|
14088 Alabama St Jay FL 32565-1036 | |
| (850) 675-4546 | |
| (850) 675-4548 |
| Full Name | Panhandle Rural Health Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 14088 Alabama St, Jay, Florida |
| Authorized Official Name and Position | Cleatious David Smith (OWNER SUPERVISING PHYSICIAN) |
| Authorized Official Contact | 8506754546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panhandle Rural Health Incorporated Po Box 10 Jay FL 32565-0010 Ph: (850) 675-4546 | Panhandle Rural Health Incorporated 14088 Alabama St Jay FL 32565-1036 Ph: (850) 675-4546 |
| NPI Number | 1255398228 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 07/05/2012 |
| Medicare PECOS PAC ID | 1557358801 |
|---|---|
| Medicare Enrollment ID | O20040428000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255398228 | NPI | - | NPPES |
| 660022102 | Medicaid | FL | |
| 21333 | Other | FL | BCBS OF FLORIDA GROUP NUMBER |
| 660022100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mark J Elder Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3887 Scotts Plaza Dr, Jay, FL 32565 Phone: 850-981-0320 Fax: 850-981-0911 | |
Gastroenterology Associates Of Pensacola Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14114 Alabama St, Jay, FL 32565 Phone: 850-436-4563 Fax: 850-436-4570 | |
J S Michael Smith Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14088 Alabama St, Jay, FL 32565 Phone: 850-675-4546 Fax: 850-675-4548 | |
Jeffery S Kelley Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14088 Alabama St, Jay, FL 32565 Phone: 850-675-4546 Fax: 850-675-4548 | |
Gastroenterology Associates Of Pensacola Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14122 Alabama St., Jay, FL 32565 Phone: 850-436-4563 |