Healthstat On-Site Clinic/Polk County
LBN: Healthstat Wellness-Polk Haines
Healthstat On-Site Clinic/Polk County is an health care organization with primary practice located at 631B Us Highway 17 92 W , Haines City FL 33844-5047. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Suppliers / Clinic Pharmacy. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is the primary health care specialty.
Healthstat Wellness-Polk Haines can be contacted via phone (863) 519-3858, or through Patton, Jill Johnson via phone (704) 936-5546.
Contact Information
Primary practice address
631B Us Highway 17 92 W
Haines City FL 33844-5047
Phone: (863) 519-3858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1134495245 |
|---|---|
| LBN Legal business name | Healthstat Wellness-Polk Haines |
| DBA Doing business as | Healthstat On-Site Clinic/Polk County |
| Authorized official | Patton, Jill Johnson |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2012 |
| Last updated | Jul 14th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134495245 | NPPES |
| Other | 5709730 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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