Organization
PROJECT HEALTH INC
Active
Other names
Langley Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CHASE (CEO)
(352) 793-5900
Entity
Organization
Contact information
Practice address
595 N LECANTO HWY, LECANTO, FL 34461-9187
(352) 527-2357
Mailing address
1425 S US 301, SUMTERVILLE, FL 33585-5141
(352) 793-5900
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029547735
—
FL
01
—
681190
MEDICARE FIRST COAST PART A
FL
01
—
K2260
MEDICARE FIRST COAST PART B
FL
Enumeration date
01/09/2020
Last updated
12/14/2020
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