The Womans Clinic in Crestview - Exclusive Provider Organization
The Womans Clinic - NPI 1922255967
The Womans Clinic is a Exclusive Provider Organization in Crestview, Florida. The Womans Clinic practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for The Womans Clinic is 1922255967. The last update date is 2008-08-21.
The Womans Clinic's current location address is 492 N Wilson St, Crestview, Florida. You can contact this provider via phone number 8506825332 and fax number 8506835333. The mailing address for The Womans Clinic is 492 N Wilson St, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | The Womans Clinic |
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Address | 492 N Wilson St, Crestview, Florida |
Phone Number | 8506825332 |
Fax Number | 8506835333 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Carlson Dale John |
Credentials | M.D. |
Telephone Number | 8506825332 |
NPI Number Detail
NPI Number | 1922255967 |
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Provider Enumeration Date | 2008-08-21 |
Last Updated Date | 2008-08-21 |
Provider Mailing Address Detail
Address | 492 N Wilson St |
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City | Crestview |
State | Florida (FL) |
Post Code | 325363442 |
Phone Number | 8506825332 |
Fax Number | 8506835333 |
Provider's Primary Taxonomy Detail
Speciality | Exclusive Provider Organization |
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Taxonomy | 302F00000X |
Licence No | ME0051484 |
Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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What is the unique identifier code issued to The Womans Clinic by the Centers for Medicare & Medicaid Services?
The The Womans Clinic has been assigned the NPI (National Provider Identifier) 1922255967. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the The Womans Clinic located?
The The Womans Clinic is located at 492 N Wilson St, Crestview, FL 325363442.
What is The Womans Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for The Womans Clinic is Exclusive Provider Organization, and the taxonomy code that classifies this field of practice is 302F00000X.
On what date did the The Womans Clinic receive its 1922255967 assignment from the Centers for Medicare & Medicaid Services?
The The Womans Clinic was assigned its 1922255967 by the Centers for Medicare & Medicaid Services on 2008-08-21.
When was the information regarding The Womans Clinic most recently updated?
The details pertaining to the The Womans Clinic, including its address, specialty, and other relevant information, were last refreshed on 2008-08-21.