QUINTESSENTIAL HEALTH SERVICES, INC (NPI# 1184643223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184643223 |
| Entity Type | Organization |
| Organization Name | QUINTESSENTIAL HEALTH SERVICES, INC |
| Other Organization Name | CRYSTAL FAMILY PRACTICE |
| Practice Address |
6152 W Corporate Oaks Dr Crystal River FL 34429-8722 |
| Practice Telephone | 3527945086 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAWN GOODPASTER (PRESIDENT) |
| Authorized Official Telephone | 3527945086 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| crystal family practice | Doing Business As Name - Organization |
| Street Address |
6152 W CORPORATE OAKS DR |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34429-8722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740220938 | Barrett Jeffrey Wallis | Internal Medicine | 6152 W Corporate Oaks Dr, Crystal River, FL 34429-8722 | 2006-06-07 |
| 1720358559 | Tracy Margaret Wilson | Nurse Practitioner | 6152 W Corporate Oaks Dr, Crystal River, FL 34429-8722 | 2012-01-10 |
| 1003199076 | B Jeffrey Wallis Md Pa | Internal Medicine | 6152 W Corporate Oaks Dr, Crystal River, FL 34429-8722 | 2011-09-26 |
| 1376863316 | Love V Baumle | Registered Nurse | 6152 W Corporate Oaks Dr, Crystal River, FL 34429-8722 | 2010-06-01 |
| 1760558795 | Kenneth Wayne Spilios | Physician Assistant | 6152 W Corporate Oaks Dr, Crystal River, FL 34429-8722 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324386 | Sydney M Mergler | Specialist/Technologist | 315 Ne 10th St, Crystal River, FL 34429 | 2020-07-23 |
| 1497255814 | Plantation Medical Care, Pa | Clinic/Center | 9030 W Fort Island Trl Ste 11b, Crystal River, FL 34429 | 2018-02-13 |
| 1356864599 | Jeri Leigh Anderson | Family Medicine | 6199 W. Gulf To Lake Hwy, Crystal River, FL 34429 | 2017-07-19 |
| 1982011706 | Bambi Ann Heyer | Nurse Practitioner | 659 Ne Hwy 19 Unit 1, Crystal River, FL 34429 | 2014-07-14 |
| 1982977120 | Life Soulutions | Community/Behavioral Health | 427 Ne 3rd St Ste C, Crystal River, FL 34429 | 2012-02-20 |
| 1073844296 | Richard C Swanson,dmd Pa | Clinic/Center | 1815 Se Hwy 19, Crystal River, FL 34429 | 2010-01-28 |
| 1710116520 | Albert M. Boholst | Surgery | 730 S.e. 5th Terrace, Crystal River, FL 34429 | 2009-07-14 |
| 1033353453 | Claire Annette Wirt | Mechanotherapist | 1925 Se Hwy 19, Crystal River, FL 34429 | 2009-04-29 |
| 1811134067 | John D. Hosner, D.d.s., P.a. | Dentist | 1118 N. Suncoast Blvd., Crystal River, FL 34429 | 2009-01-09 |
| 1396981528 | Meadowcrest Family Physicians, P.a. | Family Medicine | 1250 N Vantage Pt Dr, Crystal River, FL 34429 | 2008-12-17 |
| Find all providers in zip 34429 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699901975 | Dh Pritchard Md Pa | Clinic/Center | 1218 Se 5th Ave, Crystal River, FL 34429-4929 | 2009-06-01 |
| 1144355587 | West Florida Medical Associates, Pa | Clinic/Center | 7647 W Gulf To Lake Hwy, Crystal River, FL 34429-7962 | 2007-02-23 |
| 1457499576 | West Florida Medical Associates, Pa | Clinic/Center | 7647 W Gulf To Lake Hwy, Crystal River, FL 34429-7962 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL RIVER |
| Zip Code | 34429 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.