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Organization
NORTH FLORIDA RURAL HEALTH CORP
Active
Organization
NORTH FLORIDA RURAL HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACI THOMPSON MD (CMO)
(410) 493-3901
Entity
Organization
Contact information
Practice address
680 MAPLE ST, CHATTAHOOCHEE, FL 32324-1826
(850) 999-3181
Mailing address
600 34TH ST S, SAINT PETERSBURG, FL 33711-1722
(850) 999-3181
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
347B00000X
Bus
—
NULL
Other
Enumeration date
04/22/2022
Last updated
02/20/2024
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