HC Healthcare Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

80014936 Issued in FL

Legal business name

HC HEALTHCARE INC

Doing business as

Trinity Family Clinic

Practice address

506 NW 4TH Street
Jasper, FL 32052-6603

Phone

(386) 792-7247

Fax

(386) 792-7257

NPI assigned

Oct 31, 2006

Last updated

Dec 5, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Krasnow

Title

Owner/President

Phone

(386) 792-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity Family Clinic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1205912326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 NW 4TH STREET",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320526603",
            "telephone_number": "386-792-7247",
            "fax_number": "386-792-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 NW 4TH STREET",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320526603",
            "telephone_number": "386-792-7247",
            "fax_number": "386-792-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HC HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "KRASNOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "386-792-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": "80014936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660106500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Jasper, FL by specialty
• Rural Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.