George H Evans in Lake Wales - Federally Qualified Health Center (fqhc)
George H Evans - NPI 1588823447
George H Evans is a Federally Qualified Health Center (fqhc) in Lake Wales, Florida. George H Evans practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for George H Evans is 1588823447. The last update date is 2008-06-05.
George H Evans's current location address is 4132 Dunmore Dr, Lake Wales, Florida. You can contact this provider via phone number 8633241580 and fax number 8633241580. The mailing address for George H Evans is 4132 Dunmore Dr, Lake Wales, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George H Evans |
|---|---|
| Address | 4132 Dunmore Dr, Lake Wales, Florida |
| Phone Number | 8633241580 |
| Fax Number | 8633241580 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588823447 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 4132 Dunmore Dr |
|---|---|
| City | Lake Wales |
| State | Florida (FL) |
| Post Code | 338595742 |
| Phone Number | 8633241580 |
| Fax Number | 8633241580 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 9683 |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Post Comment/ Review Below
What is the George H Evans's unique identification number?
The George H Evans has been assigned the NPI (National Provider Identifier) Number 1588823447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where George H Evans is physically located?
The George H Evans is physically situated at the following address: 4132 Dunmore Dr, Lake Wales, FL, 338595742.
What is the George H Evans's area of specialization and corresponding taxonomy classification?
The George H Evans's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588823447 to George H Evans?
The Centers for Medicare & Medicaid Services originally issued the 1588823447 to George H Evans on 2008-06-05.
As of what date were the George H Evans's details last updated?
The information pertaining to the George H Evans, including its address, specialty, and other details, was most recently updated on 2008-06-05.
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