Crystal River Hma Physician Management Llc

LBN: Crystal River Hma Physician Management Llc
Crystal River Hma Physician Management Llc is an health care organization with primary practice located at 1669 Se Hwy 19 , Crystal River FL 34429-4849. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Crystal River Hma Physician Management Llc can be contacted via phone (352) 563-2407, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
1669 Se Hwy 19 Crystal River FL 34429-4849
Phone: (352) 563-2407
Fax: (877) 892-9815
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1164188447
LBN Legal business name Crystal River Hma Physician Management Llc
DBA Doing business as Crystal River Hma Physician Management Llc
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2021
Last updated Mar 14th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164188447 NPPES
Florida MEDICAID PENDING

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