Panhandle Family Medicine Pa

LBN: Panhandle Family Medicine Pa
Panhandle Family Medicine Pa is an health care organization with primary practice located at 877 3Rd St Suite 4, Chipley FL 32428-1827. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Panhandle Family Medicine Pa can be contacted via phone (850) 638-4555, or through Hatcher, Ayshia Ellis via phone (850) 638-4555.

Contact Information

Primary practice address
877 3Rd St Suite 4 Chipley FL 32428-1827
Fax: (850) 638-9190
Website:
Authorized official contact:
Name: Hatcher, Ayshia Ellis MSM

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS8371 Florida

Profile Details

NPI number 1245251487
LBN Legal business name Panhandle Family Medicine Pa
DBA Doing business as
Authorized official Hatcher, Ayshia Ellis MSM
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Apr 20th, 2008 - about 17 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 1245251487 NPPES
Florida Other OS8371 DR HATCHER LICENSE
Florida MEDICAID 1700956729 DR HATCHER LICENSE
Florida Other 06968 DR HATCHER LICENSE
Florida MEDICAID 1699845313 DR HATCHER LICENSE

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