Provider Demographics
NPI:1598747818
Name:ALACHUA HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ALACHUA HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:I
Authorized Official - Credentials:PT AP
Authorized Official - Phone:352-376-1320
Mailing Address - Street 1:2730 NW 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-2263
Mailing Address - Country:US
Mailing Address - Phone:352-376-1320
Mailing Address - Fax:352-376-1340
Practice Address - Street 1:2730 NW 39TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-2263
Practice Address - Country:US
Practice Address - Phone:352-376-1320
Practice Address - Fax:352-376-1340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFL AP 1152261QH0100X
FLPT 4135261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7200Medicare ID - Type UnspecifiedREHABILITATION CLINIC