NPIMap

Organization Active NPI

Florida Department of Health

Doing business as DeSoto County Health Department

  • Public Health or Welfare Agency
  • Arcadia, FL
National Provider Identifier
1285738369
Registry record updated Feb 4, 2025
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
DeSoto County Health Department
Practice address
34 S Baldwin Ave
Arcadia, FL 34266-3387
Phone
(863) 993-4601
Fax
(863) 993-4606
NPI assigned
Sep 11, 2006
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Mary Kay Burns, RN,BSN,MBA
Title
Administrator
Phone
(863) 993-4601

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X FL Primary
General Practice Dentistry 1223G0001X
Obstetrics & Gynecology Physician 207V00000X
General Practice Physician 208D00000X

Addresses

Primary practice location

34 S Baldwin Ave
Arcadia, FL 34266-3387

Mailing address

34 S Baldwin Ave
Arcadia, FL 34266-3387
Phone (863) 993-4601

Other practice location 1

815 North Mills Avenue
Suite 103
Arcadia, FL 34266
Phone (863) 491-7580

Other identifiers 2

IdentifierTypeStateIssuer
97073OtherFLBCBS PROVIDER FOR DCHD
027924291MedicaidFL

Other names 1

  • DeSoto 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
O20050604000006 FL Part B Supplier - Clinic/Group Practice 3072424282 Receives reassigned benefits from 7 practitioners
Practice locations: Arcadia, 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
10D0992092Florida Department of Health Desoto County815 North Mills Avenue, Suite 103, Arcadia, FL 34266Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Agape Community 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

34 S Baldwin Ave
Arcadia, FL 34266
Phone (863) 491-7580

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 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1285738369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S BALDWIN AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663387",
            "telephone_number": "863-993-4601",
            "fax_number": "863-993-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S BALDWIN AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342663387",
            "telephone_number": "863-993-4601",
            "fax_number": "863-993-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 North Mills Avenue",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "34266",
            "country_code": "US",
            "telephone_number": "863-491-7580",
            "fax_number": "863-491-7584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2025-02-04",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-993-4601",
        "authorized_official_credential": "RN,BSN,MBA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER FOR DCHD",
            "identifier": "97073",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027924291",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeSoto County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, FL

Sources for this page

Verify at the official NPI Registry.