NPIMap

Organization Active NPI

Capital Health Plan Inc

  • Health Maintenance Organization
  • Tallahassee, FL
National Provider Identifier
1407149362
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CAPITAL HEALTH PLAN INC
Practice address
1264 Metropolitan Blvd
Tallahassee, FL 32312-2536
Phone
(850) 383-3382
NPI assigned
May 25, 2011
Organization subpart
Yes
Parent organization
CAPITAL HEALTH PLAN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Paul A Bawek
Title
Controller
Phone
(850) 383-3427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X FL Primary

Addresses

Primary practice location

1264 Metropolitan Blvd
Tallahassee, FL 32312-2536

Mailing address

2140 Centerville Place
Tallahassee, FL 32308-4314
Phone (850) 383-3382

Other names 1

  • CHP Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Monyahan MD4 organizations share this tax ID, including this one
Part of
David Monyahan MD

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1407149362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 CENTERVILLE PLACE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084314",
            "telephone_number": "850-383-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 METROPOLITAN BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122536",
            "telephone_number": "850-383-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HEALTH PLAN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITAL HEALTH PLAN INC",
        "enumeration_date": "2011-05-25",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "BAWEK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "850-383-3427"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHP Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHP Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.