Organization
PREMIER COMMUNITY HEALTHCARE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SCHUKNECHT (CEO)
(352) 518-2000
Entity
Organization
Contact information
Practice address
11611 DENTON AVE, HUDSON, FL 34667-5420
(352) 518-2000
(352) 567-1974
Mailing address
PO BOX 232, DADE CITY, FL 33526-0232
(352) 518-2000
(352) 567-1974
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/08/2010
Last updated
08/30/2011
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