Emmanuel Christian Health Center Pa

LBN: Emmanuel Christian Health Center Pa
Emmanuel Christian Health Center Pa is an health care organization with primary practice located at 918 Rolling Acres Rd Suite 1, Lady Lake FL 32159-5027. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Emmanuel Christian Health Center Pa can be contacted via phone (352) 259-1991, or through Woodard, Vivian J via phone (352) 259-1991.

Contact Information

Primary practice address
918 Rolling Acres Rd Suite 1 Lady Lake FL 32159-5027
Phone: (352) 259-1991
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Woodard, Vivian J Doctor of Medicine (MD)
Phone: (352) 259-1991

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 53291 Florida

Profile Details

NPI number 1750499943
LBN Legal business name Emmanuel Christian Health Center Pa
DBA Doing business as
Authorized official Woodard, Vivian J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2006
Last updated Jan 27th, 2011 - about 13 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 1750499943 NPPES
Florida MEDICAID 257686400

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