| Tri County Family Health Services-williston | |
|
125 Sw 7th St Williston FL 32696-2403 | |
| (352) 528-2801 | |
| (352) 528-3824 |
| Full Name | Tri County Family Health Services-williston |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 125 Sw 7th St, Williston, Florida |
| Authorized Official Name and Position | Jerry E Gillman (CEO) |
| Authorized Official Contact | 3525282801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Family Health Services-williston 125 Sw 7th Street Williston FL 32696-2403 Ph: (352) 528-2801 | Tri County Family Health Services-williston 125 Sw 7th St Williston FL 32696-2403 Ph: (352) 528-2801 |
| NPI Number | 1629247259 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 11/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629247259 | NPI | - | NPPES |
| 72816 | Other | FL | BLUE CROSS |
| 660137500 | Medicaid | FL | |
| 332 | Other | FL | BCBS OF FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 4424 (Florida) | Primary |
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