Provider Demographics
NPI:1346026457
Name:FURNITURE COUNTRY
Entity Type:Organization
Organization Name:FURNITURE COUNTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMONDS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:352-335-5263
Mailing Address - Street 1:2330 NW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-2838
Mailing Address - Country:US
Mailing Address - Phone:352-378-4278
Mailing Address - Fax:352-379-4899
Practice Address - Street 1:2330 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-2838
Practice Address - Country:US
Practice Address - Phone:352-378-4278
Practice Address - Fax:352-379-4899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization