Williston Rural Health And Wellness Clinic Llc

LBN: Williston Rural Health And Wellness Clinic Llc
Williston Rural Health And Wellness Clinic Llc is an health care organization with primary practice located at 300 Nw 1St Ave , Williston FL 32696-2006. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Williston Rural Health And Wellness Clinic Llc can be contacted via phone (352) 529-0966, or through Clevinger, Sidney Ernest via phone (352) 266-7075.

Contact Information

Primary practice address
300 Nw 1St Ave Williston FL 32696-2006
Phone: (352) 529-0966
Fax: (352) 529-0967
Website:
Map and Directions
Authorized official contact:
Name: Clevinger, Sidney Ernest Doctor of Medicine (MD)
Phone: (352) 266-7075

Health care specialties

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

Profile Details

NPI number 1538435375
LBN Legal business name Williston Rural Health And Wellness Clinic Llc
DBA Doing business as
Authorized official Clevinger, Sidney Ernest Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2012
Last updated Oct 10th, 2013 - about 12 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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