WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC (NPI# 1538349469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538349469 |
| Entity Type | Organization |
| Organization Name | WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC |
| Practice Address |
41 Feli Way Crawfordville FL 32327-2368 |
| Practice Telephone | 8509263140 |
| Practice Fax Number | 8509263163 |
| Mailing Telephone | 8509263140 |
| Mailing Fax Number | 8509263163 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | DR. DAVID A KEEN (MANAGER) |
| Authorized Official Telephone | 8509263140 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
CCN 10-3815 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002074401 | 05 | |
| FL | 002074400 | 05 | |
| FL | 275271900 | 05 |
| Street Address |
41 FELI WAY |
| City | CRAWFORDVILLE |
| State | FL |
| Zip Code | 32327-2368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295759512 | David Anthony Keen | Emergency Medicine | 41 Feli Way, Crawfordville, FL 32327-2368 | 2006-07-27 |
| 1306490115 | Emmanual Tiffany Northington | Nurse Practitioner | 41 Feli Way, Crawfordville, FL 32327-2368 | 2019-07-30 |
| 1508053240 | Valerie Marie Russell | Nurse Practitioner | 41 Feli Way, Crawfordville, FL 32327-2368 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578083473 | Natasha K Gross | Private Vehicle | 90 Payne Street, Crawfordville, FL 32327 | 2017-06-21 |
| 1598204547 | Crawfordville Pharmacy Inc | Pharmacy | 2650 Crawfordville Hwy, Suite 1, Crawfordville, FL 32327 | 2017-02-22 |
| 1922455666 | Aidia Kirksey | Contractor | 114 Sand Pine Trl, Crawfordville, FL 32327 | 2016-05-23 |
| 1760809545 | Esteem Rehabilitation | Point of Service | 196 Lee Miller Rd, Crawfordville, FL 32327 | 2014-03-18 |
| 1205137114 | Guadalupe D Rodgers | Counselor | 103 Mayfair Drive, Crawfordville, FL 32327 | 2010-11-09 |
| 1164745352 | Gregory Eugene Gast | Counselor | 3295 Crawfordville Hwy., Suite 4, Crawfordville, FL 32327 | 2010-03-02 |
| 1568592897 | Heloise Murphy | Physical Therapist | 2887 Crawfordville Highway, Suite 3, Dubreja Plaza, Crawfordville, FL 32327 | 2007-03-06 |
| 1447344643 | Wal-mart Stores East, Lp | Technician/Technologist | 35 Mike Stewart Dr, Crawfordville, FL 32327 | 2006-10-03 |
| 1659485068 | Lori Christine Cate | Physical Therapist | 2887 Crawfordville Hwy., Unit 3, Crawfordville, FL 32327 | 2006-08-19 |
| 1417987140 | Nhc-op Lp | Home Health | 3034 Coastal Highway, Crawfordville, FL 32327 | 2006-07-05 |
| Find all providers in zip 32327 | ||||
| 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 | ||||
| City | CRAWFORDVILLE |
| Zip Code | 32327 |
Please comment or provide details below to improve the information on WAKULLA URGENT CARE & DIAGNOSTIC CENTER PLC.
| 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.