| Organization Name: | MANATEE COUNTY RURAL HEALTH SERVICES, INC |
| NPI Number: | 1023406584 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WALTER L PRESHA (PRESIDENT & CEO) |
| Mailing Address: | 12271 Us Highway 301 N Parrish |
| State: | FL US |
| Postal Code: | 342198410 |
| Phone Number: | 9417764068 |
| Fax Number: | 9417764091 |
| NPI Enumeration Date: | 01/06/2015 |
| NPI Last Update Date: | 01/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 605387 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |