Ira Fialko, DO, PA
Rural health clinic in Crystal River, FL, Medicare certification number 103848.
Medicare certification
Provider of Services- CCN
- 103848
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Aug 4, 1993
- Last certification
- Sep 9, 2020
- Most recent change of ownership
- Aug 1, 2011 (1 total)
- Address
- 6171 W Gulf to Lake Hwy
Crystal River, FL 34429
(352) 429-2679
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Premier Pediatrics Coastal
- Rural Health Clinic/Center
- Crystal River, FL
- NPI 1770865917
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.