Premier Community Healthcare Group Inc

LBN: Premier Community Healthcare Group Inc
Premier Community Healthcare Group Inc is an health care organization with primary practice located at 14027 5Th St , Dade City FL 33525-4302. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Premier Community Healthcare Group Inc can be contacted via phone (352) 518-2000, or through Maffett, Jennifer via phone (352) 518-2000.

Contact Information

Primary practice address
14027 5Th St Dade City FL 33525-4302
Phone: (352) 518-2000
Fax: (352) 567-0218
Website:
Map and Directions
Authorized official contact:
Name: Maffett, Jennifer
Phone: (352) 518-2000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1841263399
LBN Legal business name Premier Community Healthcare Group Inc
DBA Doing business as
Authorized official Maffett, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 9th, 2019 - about 6 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 1841263399 NPPES
Florida MEDICAID 029550700

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