NPIMap

Organization Active NPI

Florida Department of Health

Doing business as Flagler County Health Department

  • Public Health or Welfare Agency
  • Bunnell, FL
National Provider Identifier
1285600213
Registry record updated Feb 12, 2015
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
Flagler County Health Department
Practice address
301 Dr Carter Blvd
Bunnell, FL 32110-6212
Phone
(386) 437-7350
Fax
(386) 437-8207
NPI assigned
Feb 28, 2006
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Mr. Patrick Johnson, R.N
Title
Administrator
Phone
(386) 437-7350

Specialties & licenses 1

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

Addresses

Primary practice location

301 Dr Carter Blvd
Bunnell, FL 32110-6212

Mailing address

301 Dr Carter Blvd
PO Box 847
Bunnell, FL 32110-6212
Phone (386) 437-7350

Other identifiers 3

IdentifierTypeStateIssuer
027928500MedicaidFL
P00235603OtherFLRAILROAD MEDICARE
X1583OtherFLBLUE CROSS/BLUE SHIELD

Other names 1

  • Flagler County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050426001389 FL Part B Supplier - Clinic/Group Practice 3072424282 Receives reassigned benefits from 4 practitioners
Practice locations: Bunnell, FL
O20210310000631 FL MDPP Supplier - in-Person MDPP Supplier 3072424282 1 other NPI on this enrollment
Practice locations: Palm Coast, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bay Co Health185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

120 Airport Rd
Ste 2A
Palm Coast, FL 32164

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 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1285600213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DR CARTER BLVD",
            "address_2": "PO BOX 847",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321106212",
            "telephone_number": "386-437-7350",
            "fax_number": "386-437-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DR CARTER BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321106212",
            "telephone_number": "386-437-7350",
            "fax_number": "386-437-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-437-7350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027928500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00235603",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "X1583",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flagler County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bunnell, FL

Sources for this page

Verify at the official NPI Registry.