Florida Department of Children and Families
Doing business as Northeast Florida State Hospital
Hospital in Macclenny, FL, Medicare certification number 104007.
Medicare certification
Provider of Services- CCN
- 104007
- Status
- Active
- Provider type
- Hospital – Psychiatric
- Listed by Care Compare as
- Psychiatric
- Ownership
- Government - State
- Control type
- State
- Participating since
- May 22, 1969
- Last certification
- Mar 13, 2025
- Beds
- 1,138
- Address
- 7487 S State Rd 121
Macclenny, FL 32063
(904) 330-2001
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Northeast Florida State Hospital
- Psychiatric Hospital
- Macclenny, FL
- NPI 1013931765
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.