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Contact Information

CHIEFLAND HEALTH CENTER LLC
304 N MAIN ST
CHIEFLAND, FL32626-0803
 Phone: 352-507-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Primary Care

261QP2300X
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for CHIEFLAND HEALTH CENTER LLC

NPI Number 1114549284
LBN Legal business name CHIEFLAND HEALTH CENTER LLC
Authorized official ASHWIN KOLAVENTY - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2020
Last updated 04/19/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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