RURAL MEDICAL ASSOCIATES INC (NPI# 1770570806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770570806 |
Entity Type | Organization |
Organization Name | RURAL MEDICAL ASSOCIATES INC |
Other Organization Name | WILDWOOD MEDICAL CENTER |
Practice Address |
411 Webster St Wildwood FL 34785-4036 |
Mailing Address |
605 Lamar Ave Brooksville FL 34601-3211 |
Practice Telephone | 3527486689 |
Practice Fax Number | 3527486381 |
Mailing Telephone | 3527995411 |
Mailing Fax Number | 3525442713 |
Enumeration Date | 2005-10-04 |
Last Update Date | 2008-07-16 |
Authorized Official Name | MR. CHARLES WILLIAM COSNER (V.P. OPERATIONS) |
Authorized Official Telephone | 3527995411 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208D00000X | General Practice | FL | Allopathic & Osteopathic Physicians | |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
5025 | FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BC/BS FLA | 34382 | 01 |
FL | 660111101 | 05 | |
FL | RAILROAD MEDICARE | CK4235 | 01 |
FL | 660111100 | 05 |
Other Name | Type Code |
---|---|
WILDWOOD MEDICAL CENTER | Doing Business As Name - Organization |
Street Address |
411 WEBSTER ST |
City | WILDWOOD |
State | FL |
Zip Code | 34785-4036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851385165 | Cindy K Lockwood Collier | Nurse Practitioner | 411 Webster St, Rural Medical Assoc. Inc, Wildwood, FL 34785-4036 | 2005-09-01 |
1871575324 | Tracy M. Creel | Physician Assistant | 411 Webster St, Wildwood, FL 34785-4036 | 2005-11-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366075889 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5810 Seven Mile Drive, Wildwood, FL 34785 | 2020-02-13 |
1477183903 | Central Florida Premier Eye Associates | Optometrist | 5431 East State Road 44, Wildwood, FL 34785 | 2020-01-23 |
1174006399 | Village Discount Pharmacy | Pharmacy | 3990 E St 44 Suite 207, E Sr44 Suite 207, Wildwood, FL 34785 | 2018-09-13 |
1033582333 | Mls Homemaker/companion Service | In Home Supportive Care | 1406 County Road 228, Wildwood, FL 34785 | 2015-11-09 |
1225412604 | Safe Haven Assisted Living Facility, Inc | Respite Care | 2505 East Orange Ave., Eustis, FL 34785 | 2015-07-15 |
1477894343 | Kristen Jillene Hopper | Social Worker | 901 Industrial Dr, Wildwood, FL 34785 | 2013-03-02 |
1588632210 | Elaine E. Moorman | Nurse Practitioner | 411 N. Webster Street, Wildwood, FL 34785 | 2006-03-09 |
1134782501 | German Santiago Herrera Alzate | Physician Assistant | 846 Ne 54th Terrace, Widlwood, FL 34785 | 2019-04-20 |
1912492919 | Van Mai Vu | Optometrist | 846 Ne 54th Terrace, Wildwood, FL 34785 | 2018-06-22 |
1881720084 | Pedro Arroyo IIi | Surgery | 837 S Main St, Wildwood, FL 34785 | 2007-02-24 |
Find all providers in zip 34785 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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 |
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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.