Jack M. Matheny Ii, Md in Palatka - Rural Health
Jack M. Matheny Ii, Md - NPI 1629198544
Jack M. Matheny Ii, Md is a Rural Health in Palatka, Florida. Jack M. Matheny Ii, Md practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Jack M. Matheny Ii, Md is 1629198544. The last update date is 2019-04-02.
Jack M. Matheny Ii, Md's current location address is 700 Zeagler Dr Ste 10, Palatka, Florida. You can contact this provider via phone number 3863286746 and fax number 3863287554. The mailing address for Jack M. Matheny Ii, Md is 700 Zeagler Dr Ste 10, Palatka, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack M. Matheny Ii, Md |
|---|---|
| Address | 700 Zeagler Dr Ste 10, Palatka, Florida |
| Phone Number | 3863286746 |
| Fax Number | 3863287554 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Matheny Meadows Jack |
| Credentials | MD |
| Telephone Number | 3863286746 |
NPI Number Detail
| NPI Number | 1629198544 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2019-04-02 |
Provider Mailing Address Detail
| Address | 700 Zeagler Dr Ste 10 |
|---|---|
| City | Palatka |
| State | Florida (FL) |
| Post Code | 321773826 |
| Phone Number | 3863286746 |
| Fax Number | 3863287554 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
| Licence No | ME0048571 |
|
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 |
|---|---|---|---|
| 372143401 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack M. Matheny Ii, Md by the Centers for Medicare & Medicaid Services?
The Jack M. Matheny Ii, Md has been issued the NPI (National Provider Identifier) 1629198544 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jack M. Matheny Ii, Md's facilities are geographically located?
The facilities of Jack M. Matheny Ii, Md are physically situated at the following location: 700 Zeagler Dr Ste 10, Palatka, FL, 321773826.
What is Jack M. Matheny Ii, Md's area of expertise and its corresponding taxonomy classification?
The Jack M. Matheny Ii, Md's field of specialization is Rural Health, and it falls under the taxonomy code 261Qr1300X, which categorizes healthcare providers based on their areas of practice.
On what date did Jack M. Matheny Ii, Md receive its 1629198544 assignment from the Centers for Medicare & Medicaid Services?
The Jack M. Matheny Ii, Md was assigned its 1629198544 on 2007-04-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jack M. Matheny Ii, Md most recently updated or refreshed?
The details pertaining to the Jack M. Matheny Ii, Md, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-04-02.