| North Florida Rural Health Corp | |
|
680 Maple St Chattahoochee FL 32324-1826 | |
| (850) 999-3181 | |
| Not Available |
| Full Name | North Florida Rural Health Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 680 Maple St, Chattahoochee, Florida |
| Authorized Official Name and Position | Traci Thompson (CMO) |
| Authorized Official Contact | 4104933901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Rural Health Corp 600 34th St S Saint Petersburg FL 33711-1722 Ph: (850) 999-3181 | North Florida Rural Health Corp 680 Maple St Chattahoochee FL 32324-1826 Ph: (850) 999-3181 |
| NPI Number | 1912641341 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 4082068168 |
|---|---|
| Medicare Enrollment ID | O20230922001527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912641341 | NPI | - | NPPES |
| Provider Name | Traci Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740351782 PECOS PAC ID: 8123017159 Enrollment ID: I20041112000864 |
| Provider Name | Danielle Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598319246 PECOS PAC ID: 9436588951 Enrollment ID: I20200612001426 |
| Provider Name | Lillie Ruth Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205435641 PECOS PAC ID: 7618244583 Enrollment ID: I20221223000003 |
| Provider Name | Michael F Battle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124042783 PECOS PAC ID: 9436402922 Enrollment ID: I20231109002928 |
| Provider Name | Kimmeuy Horozinski |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306440748 PECOS PAC ID: 6002356508 Enrollment ID: I20240911001966 |
| Provider Name | Kymberli A. Mumford-clarke |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316965742 PECOS PAC ID: 9830612431 Enrollment ID: I20250325000039 |
Grant Center Hospital Of Ocala Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 High St, Chattahoochee, FL 32324 Phone: 850-663-4643 |