NPIMap

Organization Active NPI

Project Health Inc

Doing business as Langley Health Services

  • Federally Qualified Health Center (FQHC)
  • Crystal River, FL
National Provider Identifier
1669827085
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PROJECT HEALTH INC
Doing business as
Langley Health Services
Practice address
547 SE Fort Island TRL Ste C
Crystal River, FL 34429-8905
Phone
(352) 793-5900
NPI assigned
May 4, 2016
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Thomas Chase
Title
Ceo
Phone
(352) 793-5900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

547 SE Fort Island TRL Ste C
Crystal River, FL 34429-8905

Mailing address

1425 S US 301
Sumterville, FL 33585-5141
Phone (352) 793-5900

Other identifiers 1

IdentifierTypeStateIssuer
029547730MedicaidFL

Other names 1

  • Langley Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thomas E Langley Med CT12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

547 SE Fort Island Trl
Ste C
Crystal River, FL 34429
Phone (352) 794-7391

213 S Pine Ave
Ste B
Inverness, FL 34452

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1669827085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S US 301",
            "city": "SUMTERVILLE",
            "state": "FL",
            "postal_code": "335855141",
            "telephone_number": "352-793-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 SE FORT ISLAND TRL STE C",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298905",
            "telephone_number": "352-793-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-793-5900"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029547730",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Langley Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Langley Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.