Phc-Ft Walton Inc in Ft Walton Beach - Skilled Nursing Facility
Phc-Ft Walton Inc - NPI 1922099928
Phc-Ft Walton Inc is a Skilled Nursing Facility in Ft Walton Beach, Florida. Phc-Ft Walton Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Phc-Ft Walton Inc is 1922099928. The last update date is 2009-11-12.
Phc-Ft Walton Inc's current location address is 1 L B J Sr Dr, Ft Walton Beach, Florida. You can contact this provider via phone number 8508632066 and fax number 8508639006. The mailing address for Phc-Ft Walton Inc is 1 L B J Sr Dr, Ft Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phc-Ft Walton Inc |
|---|---|
| Address | 1 L B J Sr Dr, Ft Walton Beach, Florida |
| Phone Number | 8508632066 |
| Fax Number | 8508639006 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Hudson Arol William |
| Credentials | MBA |
| Telephone Number | 8508632066 |
NPI Number Detail
| NPI Number | 1922099928 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2009-11-12 |
Provider Mailing Address Detail
| Address | 1 L B J Sr Dr |
|---|---|
| City | Ft Walton Beach |
| State | Florida (FL) |
| Post Code | 325471163 |
| Phone Number | 8508632066 |
| Fax Number | 8508639006 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | FL14605 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22923700 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Phc-Ft Walton Inc by the Centers for Medicare & Medicaid Services?
The Phc-Ft Walton Inc has been assigned the NPI (National Provider Identifier) 1922099928 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Phc-Ft Walton Inc?
The Phc-Ft Walton Inc is situated at 1 L B J Sr Dr, in the city of Ft Walton Beach, state of FL, with the zip code 325471163.
What is Phc-Ft Walton Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phc-Ft Walton Inc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
When did the Phc-Ft Walton Inc receive its 1922099928?
The Phc-Ft Walton Inc was issued its 1922099928 on 2005-10-31, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Phc-Ft Walton Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Phc-Ft Walton Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-11-12.