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Organization

PROJECT HEALTH INC.

Active
Other names
Langley Health Service
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS CHASE (CEO)
(352) 793-5900
Entity
Organization

Contact information

Practice address
547 SE FORT ISLAND TRL STE C, CRYSTAL RIVER, FL 34429-8905
(352) 794-7391
(352) 793-6269
Mailing address
1425 S US 301, SUMTERVILLE, FL 33585-5141
(352) 793-5900
(352) 793-6269

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
HCC43
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029547729
FL
Enumeration date
03/16/2018
Last updated
12/14/2020
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