PHYSICIAN ASSISTANT SERVICES INC NPI 1881800936

NPI Information

NPI: 1881800936
Provider Name: PHYSICIAN ASSISTANT SERVICES INC

Doing Business As: CITRA FAMILY HEALTH

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

Specialization: Rural Health

CLIA Number: 10D2010617

Address:
17805 N US HIGHWAY 301
CITRA, FL
ZIP 32113
Phone: (352) 595-7777
Get Directions

PHYSICIAN ASSISTANT SERVICES INC is a rural health clinic center in Citra, FL. PHYSICIAN ASSISTANT SERVICES INC NPI is 1881800936. The provider is registered as an organization entity type.
The provider Is Doing Business As Citra Family Health.

The provider's business location address is:

17805 N US HIGHWAY 301
CITRA, FL
ZIP 32113-459
Phone: (352) 595-7777
Fax: (352) 595-4047

The provider's authorized official is Lisa Molinski .
The authorized official title is Vice President and has the following contact phone number (352) 595-7777.

The CLIA number assigned to this NPI record is 10D2010617 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 5/21/2015.

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	261QR1300X	Clinic/Center	Rural Health	PA2401	FLORIDA	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	S58197	OTHER	FLORIDA	UPIN

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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