# PANHANDLE RURAL HEALTH INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jay Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255398228
- **Authorized official:** DR. CLEATIOUS DAVID SMITH I MD (OWNER SUPERVISING PHYSICIAN)
- **Authorized official phone:** (850) 675-4546

## Contact information

- **Practice address:** 14088 ALABAMA ST, JAY, FL 32565-1036
- **Practice address phone:** (850) 675-4546
- **Practice address fax:** (850) 675-4548
- **Mailing address:** PO BOX 10, JAY, FL 32565-0010
- **Mailing address phone:** (850) 675-4546
- **Mailing address fax:** (850) 675-4548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 07/05/2012