NPIMap

Organization Active NPI

Pancare of Florida, Inc

  • Federally Qualified Health Center (FQHC)
  • Blountstown, FL
National Provider Identifier
1316759244
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PANCARE OF FLORIDA, INC
Practice address
16875 NE Cayson St
Blountstown, FL 32424-2209
Phone
(850) 674-2244
Fax
(850) 674-2249
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Laura Riley
Title
Billing Manager
Phone
(850) 215-3179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

16875 NE Cayson St
Blountstown, FL 32424-2209

Mailing address

403 E 11TH St
Panama City, FL 32401-3409
Phone (850) 757-5599

Other names 1

  • PANCARE HEALTH BLOUNTSTOWN Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316759244. Details of each certification follow.

  • CCN 101172 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 101172

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMMUNITY HEALTH CENTER (BLOUNTSTOWN)
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 17, 2014
Last certification
Sep 17, 2014
Ownership / control type
For profit – corporation
Facility address
16875 NE Cayson St
Blountstown, FL 32424

National Provider Directory

National Provider Directory
Tax ID family
Pancare of Florida Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1316759244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E 11TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013409",
            "telephone_number": "850-757-5599",
            "fax_number": "508-724-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16875 NE CAYSON ST",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324242209",
            "telephone_number": "850-674-2244",
            "fax_number": "850-674-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANCARE OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "850-215-3179"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PANCARE HEALTH BLOUNTSTOWN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blountstown, FL

Sources for this page

Verify at the official NPI Registry.