NPIMap

Organization Active NPI

State of Florida

Doing business as Gulf County Health Department

  • Primary Care Clinic/Center
  • Port Saint Joe, FL
National Provider Identifier
1104003995
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ARNP 9179453 Issued in FL
Legal business name
STATE OF FLORIDA
Doing business as
Gulf County Health Department
Practice address
2475 Garrison Ave
Port Saint Joe, FL 32456-5265
Phone
(850) 227-1276
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Marsha Lindermann
Title
Administrator
Phone
(850) 227-1276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ARNP 9179453 FL Primary

Addresses

Primary practice location

2475 Garrison Ave
Port Saint Joe, FL 32456-5265

Mailing address

2475 Garrison Ave
Port St Joe, FL 32456-5265
Phone (850) 227-1276

Other names 1

  • Gulf County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunland Center Marianna15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1104003995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 GARRISON AVE",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324565265",
            "telephone_number": "850-227-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 GARRISON AVE",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324565265",
            "telephone_number": "850-227-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "LINDERMANN",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-227-1276"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ARNP 9179453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Joe, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.