MEDICARE: ARTEMIS BILLING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QB0400X	Birthing Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1134956063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTEMIS BILLING LLC

Provider Business Mailing Address
First Line	:	284 SW LOREN CT
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32024-0468
Country	:	US
Telephone Number	:	772-404-8426
Fax Number	:	772-209-7667

Provider Business Practice Location Address
First Line	:	284 SW LOREN CT
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32024-0468
Country	:	US
Telephone Number	:	772-404-8426
Fax Number	:	772-209-7667

Authorized Official
Title or Position	:	CEO
Name	:	SANDRA BLANKENSHIP
Credential	:
Telephone Number	:	772-404-8426

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	05/10/2026

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Directions to “ARTEMIS BILLING LLC ” Practice Location

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