Chiefland Health Center LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CHIEFLAND HEALTH CENTER LLC

Practice address

304 N Main St
Chiefland, FL 32626-0803

Phone

(352) 507-2000

NPI assigned

May 12, 2020

Last updated

Sep 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashwin Kolaventy

Title

Manager

Phone

(352) 507-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114549284. Details of each certification follow.

• CCN 683840 Rural health clinic · Active · Details

Rural health clinic certification: CCN 683840

Legal name

CHIEFLAND HEALTH CENTER LLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Oct 12, 2021

Last certification

Oct 12, 2021

Ownership / control type

1B

Organization structure

LLCProprietary

Incorporated

Dec 20, 2019 in FL

Enrollment address

304 N Main St
Chiefland, FL 32626-0803

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEJECD

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravindra Kolaventy, MD

  • Cardiovascular Disease Physician
  • Ocala, FL
  • NPI 1861419194
  Medicare reassignment Care Compare group NPD
• Alyson Souffrant

  • Family Nurse Practitioner
  • Chiefland, FL
  • NPI 1518858760
  Medicare reassignment Care Compare group NPD
• Carly Wallace, DO

  • Student in an Organized Health Care Education/Training Program
  • Ypsilanti, MI
  • NPI 1700562766

  FL

  Medicare reassignment NPD
• Dianne Gladys Copenhaver, ARNP

  • Adult Health Nurse Practitioner
  • Ocala, FL
  • NPI 1427010552
  NPD
• Cary Alan Harbater, ARNP-C

  • Adult Health Nurse Practitioner
  • The Villages, FL
  • NPI 1811347636
  NPD
• Sheryl Lee O'Connell, MBA, MSN, FNP-BC

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1639685944
  NPD
• Asad U. Qamar, M.D.

  • Cardiovascular Disease Physician
  • Ocala, FL
  • NPI 1033145487
  NPD

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1114549284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N MAIN ST",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260803",
            "telephone_number": "352-507-2000",
            "fax_number": "352-644-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N MAIN ST",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260803",
            "telephone_number": "352-507-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIEFLAND HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "KOLAVENTY",
        "authorized_official_first_name": "ASHWIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-507-2000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela E Cedeno
• Ping Chen, ARNP
• Cheryl's Hope & Faith
• Anjanae Chever-Watson
• Chiefland Chiropractic, PLLC
• Chiefland Medical Center LLC
• Chrissy C Claveria, L.M.T.
• Christina Cobty
• Danielle J Coffey
• Sara L Dabney, ICSW- MSW- LMT- YTT

• Rural Health Clinic/Center in Chiefland, FL
• Providers in Chiefland, FL by specialty
• Rural Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.