NPIMap

Organization Active NPI

Rural Medical Associates Inc

Doing business as Wildwood Medical Center

  • Rural Health Clinic/Center
  • Wildwood, FL
National Provider Identifier
1770570806
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
5025 Issued in FL
Legal business name
RURAL MEDICAL ASSOCIATES INC
Doing business as
Wildwood Medical Center
Practice address
411 Webster St
Wildwood, FL 34785-4036
Phone
(352) 748-6689
Fax
(352) 748-6381
NPI assigned
Oct 4, 2005
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mr. Charles William Cosner
Title
V.P. Operations
Phone
(352) 799-5411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 5025 FL Primary
General Practice Physician 208D00000X FL

Addresses

Primary practice location

411 Webster St
Wildwood, FL 34785-4036

Mailing address

605 Lamar Ave
Brooksville, FL 34601-3211
Phone (352) 799-5411

Other identifiers 4

IdentifierTypeStateIssuer
CK4235OtherFLRAILROAD MEDICARE
660111101MedicaidFL
34382OtherFLBC/BS FLA
660111100MedicaidFL

Other names 1

  • WILDWOOD MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

411 Webster St
Wildwood, FL 34785
Phone (352) 748-6689

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1770570806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 LAMAR AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013211",
            "telephone_number": "352-799-5411",
            "fax_number": "352-544-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WEBSTER ST",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347854036",
            "telephone_number": "352-748-6689",
            "fax_number": "352-748-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "COSNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "V.P. OPERATIONS",
        "authorized_official_telephone_number": "352-799-5411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": "5025",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK4235",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660111101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FLA",
            "identifier": "34382",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660111100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILDWOOD MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wildwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.