John R Degraw is a Rural Health in Crystal River, Florida. John R Degraw practices all healthcare services and medical treatments related to Rural Health. The NPI Number for John R Degraw is 1992736672. The last update date is 2020-10-01.
John R Degraw's current location address is 5915 W Gulf To Lake Hwy, Crystal River, Florida. You can contact this provider via phone number 3527943872 and fax number 3527943876. The mailing address for John R Degraw is 5915 W Gulf To Lake Hwy, Crystal River, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | John R Degraw |
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Address | 5915 W Gulf To Lake Hwy, Crystal River, Florida |
Phone Number | 3527943872 |
Fax Number | 3527943876 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1992736672 |
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Provider Enumeration Date | 2006-07-05 |
Last Updated Date | 2020-10-01 |
Provider Mailing Address Detail
Address | 5915 W Gulf To Lake Hwy |
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City | Crystal River |
State | Florida (FL) |
Post Code | 344297565 |
Phone Number | 3527943872 |
Fax Number | 3527943876 |
Provider's Primary Taxonomy Detail
Speciality | Rural Health |
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Taxonomy | 261Qr1300X |
Licence No | 108911 |
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
02120A | FL | BCBS | |
208262765 | FL | TAX ID | |
6450130001 | FL | DMERC | |
P00473712 | FL | RAILROAD MEDICARE | |
274574700 | FL | -- |
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What is the unique 10-digit identifier code assigned to John R Degraw by the Centers for Medicare & Medicaid Services?
The John R Degraw has been issued the NPI (National Provider Identifier) 1992736672 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the John R Degraw located?
The John R Degraw is located at 5915 W Gulf To Lake Hwy, Crystal River, FL 344297565.
What is the area of specialization for John R Degraw, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John R Degraw is Rural Health, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr1300X.
On what date did the John R Degraw receive the assignment of its 1992736672 from the Centers for Medicare & Medicaid Services?
The John R Degraw was issued its 1992736672 by the Centers for Medicare & Medicaid Services on 2006-07-05.
As of what date were the details related to John R Degraw most recently updated or revised?
The information pertaining to John R Degraw, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-01.