Tri County Family Health Services-Williston

LBN: Cypress Health Systems Florida Inc.
Tri County Family Health Services-Williston is an health care organization with primary practice located at 125 Sw 7Th St , Williston FL 32696-2403. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Cypress Health Systems Florida Inc. can be contacted via phone (352) 528-2801, or through Gillman, Jerry E via phone (352) 528-2801.

Contact Information

Primary practice address
125 Sw 7Th St Williston FL 32696-2403
Fax: (352) 528-3824
Website:
Authorized official contact:
Name: Gillman, Jerry E

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 4424 Florida

Profile Details

NPI number 1629247259
LBN Legal business name Cypress Health Systems Florida Inc.
DBA Doing business as Tri County Family Health Services-Williston
Authorized official Gillman, Jerry E
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 28th, 2008
Last updated Nov 23rd, 2010 - about 15 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 1629247259 NPPES
Florida Other 72816 BLUE CROSS
Florida MEDICAID 660137500 BLUE CROSS
Florida Other 332 BLUE CROSS

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