| Premier Community Healthcare Group, Inc | |
|
11611 Denton Ave Hudson FL 34667-5420 | |
| (352) 518-2000 | |
| (352) 567-1974 |
| Full Name | Premier Community Healthcare Group, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11611 Denton Ave, Hudson, Florida |
| Authorized Official Name and Position | Kim Schuknecht (CEO) |
| Authorized Official Contact | 3525182000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Community Healthcare Group, Inc Po Box 232 Dade City FL 33526-0232 Ph: (352) 518-2000 | Premier Community Healthcare Group, Inc 11611 Denton Ave Hudson FL 34667-5420 Ph: (352) 518-2000 |
| NPI Number | 1710288766 |
|---|---|
| Provider Enumeration Date | 11/08/2010 |
| Last Update Date | 08/30/2011 |
| Medicare PECOS PAC ID | 3476450818 |
|---|---|
| Medicare Enrollment ID | O20110225000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710288766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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