Cypress Health Systems Florida Inc.

Organization Active NPI Rural Health Clinic/Center · Williston, FL

NPI 1629247259 · NPPES record last updated Nov 23, 2010

Key facts

NPI
1629247259
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
4424 (FL)
Legal business name
CYPRESS HEALTH SYSTEMS FLORIDA INC.
Practice address
125 SW 7TH St
Williston, FL 32696-2403
Phone
(352) 528-2801
Fax
(352) 528-3824
NPI assigned
Feb 28, 2008
Organization subpart
Yes
Parent organization (as reported)
CYPRESS HEALTH SYSTEMS FLORIDA INC.

Authorized official

Name
Mr. Jerry E Gillman
Title
Ceo
Phone
(352) 528-2801

National Provider Directory

Part of
Nature Coast Reg Hosp

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 4424 FL Yes

Addresses

Primary practice location

125 SW 7TH St
Williston, FL 32696-2403

Mailing address

125 SW 7TH Street
Williston, FL 32696-2403
Phone (352) 528-2801

Other identifiers

IdentifierTypeStateIssuer
72816OtherFLBLUE CROSS
660137500MedicaidFL
332OtherFLBCBS OF FL

Other names

  • Tri County Family Health Services-Williston Doing business as

Other providers in Williston, FL

All providers in Williston, FL · Rural Health Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.