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 |
| 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 |
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CHIEFLAND HEALTH CENTER LLC
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