DAWN RENE' INC. NPI 1326095944

NPI Information

NPI: 1326095944
Provider Name: DAWN RENE', INC.

Doing Business As: VERNON FAMILY HEALTH OF CHIPLEY

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
719 7TH ST STE 2
CHIPLEY, FL
ZIP 32428
Phone: (850) 676-4287
Get Directions

DAWN RENE', INC. is a rural health clinic center in Chipley, FL. DAWN RENE', INC. NPI is 1326095944. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vernon Family Health Of Chipley.

The provider's business location address is:

719 7TH ST STE 2
CHIPLEY, FL
ZIP 32428-935
Phone: (850) 676-4287
Fax: (850) 676-4292

The provider's authorized official is Dawn Rene' Frost .
The authorized official title is Owner and has the following contact phone number (850) 676-4287.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 11/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AR2003622	FLORIDA	No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	108989	OTHER	FLORIDA	MEDICARE ID-RIVERBEND
2	306088800	MEDICAID	FLORIDA
3	30289900	OTHER	FLORIDA	MEDIPASS
4	Y9052	OTHER	FLORIDA	BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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