Jack M. Matheny Ii, Md, Rhc

LBN: Jack M. Matheny Ii, Md
Jack M. Matheny Ii, Md, Rhc is an health care organization with primary practice located at 700 Zeagler Dr Ste 10 , Palatka FL 32177-3826. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Jack M. Matheny Ii, Md can be contacted via phone (386) 328-6746, or through Matheny, Jack Meadows via phone (386) 328-6746.

Contact Information

Primary practice address
700 Zeagler Dr Ste 10 Palatka FL 32177-3826
Phone: (386) 328-6746
Fax: (386) 328-7554
Website:
Map and Directions
Authorized official contact:
Name: Matheny, Jack Meadows Doctor of Medicine (MD)
Phone: (386) 328-6746

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X ME0048571 Florida

Profile Details

NPI number 1629198544
LBN Legal business name Jack M. Matheny Ii, Md
DBA Doing business as Jack M. Matheny Ii, Md, Rhc
Authorized official Matheny, Jack Meadows Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Apr 2nd, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629198544 NPPES
Florida MEDICAID 372143401

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