WESTSIDE SAMARITANS CLINIC INC


Address: 10000 W Newberry Rd, Gainesville, FL 32606-5544
Phone: 3523337700

WESTSIDE SAMARITANS CLINIC INC (NPI# 1851651988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851651988
Entity Type Organization
Organization Name WESTSIDE SAMARITANS CLINIC INC
Practice Address 10000 W Newberry Rd
Gainesville
FL 32606-5544
Practice Telephone 3523337700
Practice Fax Number 3523339009
Mailing Telephone 3523337700
Mailing Fax Number 3523339009
Enumeration Date 2012-05-23
Last Update Date 2013-12-04
Authorized Official Name DR. ROY TAYLOR KLOSSNER (DIRECTOR)
Authorized Official Telephone 3523337700
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
FL Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
N12000000613-VHC FL Ambulatory Health Care Facilities

Office Location

Street Address 10000 W NEWBERRY RD
City GAINESVILLE
State FL
Zip Code 32606-5544

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City GAINESVILLE
Zip Code 32606

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Dataset Information

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.

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