Organization Active NPI

The Health Center of Palatka, Inc.

  • Skilled Nursing Facility
  • Palatka, FL
National Provider Identifier
1003833831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1402096 Issued in FL
Legal business name
THE HEALTH CENTER OF PALATKA, INC.
Practice address
110 Kay Larkin Dr
Palatka, FL 32177-2300
Phone
(904) 325-0173
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steve Strawn
Title
Director
Phone
(615) 217-2324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1402096 FL Primary

Addresses

Primary practice location

110 Kay Larkin Dr
Palatka, FL 32177-2300

Mailing address

110 Kay Larkin Dr
Palatka, FL 32177-2300
Phone (904) 325-0173

Other identifiers 1

IdentifierTypeStateIssuer
K2TOtherFLBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003833831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772300",
            "telephone_number": "904-325-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772300",
            "telephone_number": "904-325-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH CENTER OF PALATKA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRAWN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-217-2324"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1402096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "K2T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.