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NPI Code Detail

MEDICARE: COMMUNITY HEALTH AND REHABILITATION CENTER

MEDICARE: COMMUNITY HEALTH AND REHABILITATION CENTER
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
1314000000XSkilled Nursing FacilityFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1L9FOTHERFLBC/BS

General Provider Information

NPI Number : 1154305688
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH AND REHABILITATION CENTER
Provider Business Mailing Address
First Line : 3611 TRANSMITTER RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-9799
Country : US
Telephone Number : 850-747-9688
Fax Number : 850-747-9992
Provider Business Practice Location Address
First Line : 3611 TRANSMITTER RD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-9799
Country : US
Telephone Number : 850-747-9688
Fax Number : 850-747-9992
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. JOHN EARL WARREN
Credential : NHA
Telephone Number : 850-747-9688
Provider Enumeration Date : 11/29/2005
Last Update Date : 08/22/2020

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1558944314 — HARDIK N PATEL
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Directions to “COMMUNITY HEALTH AND REHABILITATION CENTER ” Practice Location

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