NPIMap

Organization Active NPI

Florida Department of Health

Doing business as Madison County Health Department

  • Public Health or Welfare Agency
  • Madison, FL
National Provider Identifier
1245200641
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Doing business as
Madison County Health Department
Practice address
218 SW Third Ave
Madison, FL 32340-1266
Phone
(850) 973-5000
Fax
(850) 973-5007
NPI assigned
Jan 26, 2006
Last updated
Aug 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Kim Barnhill
Title
Administrator Jefferson Madison CHD
Phone
(850) 973-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X FL Primary

Addresses

Primary practice location

218 SW Third Ave
Madison, FL 32340-1266

Mailing address

218 SW Third Ave
Madison, FL 32340-1266
Phone (850) 973-5000

Other names 1

  • Madison County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140616001088 FL Part B Supplier - Clinic/Group Practice 3072424282 Receives reassigned benefits from 12 practitioners
Practice locations: Madison, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1081603Madison County Health Department218 SW Third Avenue, Madison, FL 32340Provider-performed microscopyMar 19, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Walton Community Health CenterDefuniak Springs, FL, CCN 101136 Federally qualified health center Operational/Managerial Control (100%) Sep 7, 2010
Bradford Community Health Care IncStarke, FL, CCN 101182 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2013

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1245200641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SW THIRD AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401266",
            "telephone_number": "850-973-5000",
            "fax_number": "850-973-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SW THIRD AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401266",
            "telephone_number": "850-973-5000",
            "fax_number": "850-973-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "BARNHILL",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR JEFFERSON MADISON CHD",
        "authorized_official_telephone_number": "850-973-5000"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madison County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, FL

Sources for this page

Verify at the official NPI Registry.