Phc-Crestview Inc

LBN: Phc-Crestview Inc
Phc-Crestview Inc is an health care organization with primary practice located at 1849 E First Ave , Crestview FL 32539-3109. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Phc-Crestview Inc can be contacted via phone (850) 682-5322, or through Ates, Catherine A via phone (850) 682-5322.

Contact Information

Primary practice address
1849 E First Ave Crestview FL 32539-3109
Phone: (850) 682-5322
Fax: (850) 682-5489
Website:
Map and Directions
Authorized official contact:
Name: Ates, Catherine A Registered Nurse (RN)
Phone: (850) 682-5322

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1110096 Florida

Profile Details

NPI number 1891784344
LBN Legal business name Phc-Crestview Inc
DBA Doing business as
Authorized official Ates, Catherine A Registered Nurse (RN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 18th, 2005
Last updated Nov 12th, 2009 - about 16 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 1891784344 NPPES
Florida MEDICAID 025110100

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