Provider Demographics
NPI:1205912326
Name:HC HEALTHCARE INC
Entity type:Organization
Organization Name:HC HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KRASNOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-792-7200
Mailing Address - Street 1:506 NW 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:FL
Mailing Address - Zip Code:32052-6603
Mailing Address - Country:US
Mailing Address - Phone:386-792-7247
Mailing Address - Fax:386-792-7257
Practice Address - Street 1:506 NW 4TH STREET
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:FL
Practice Address - Zip Code:32052-6603
Practice Address - Country:US
Practice Address - Phone:386-792-7247
Practice Address - Fax:386-792-7257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL80014936261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL660106500Medicaid
FL103436Medicare PIN
FL103436Medicare Oscar/Certification