NPIMap

Organization Active NPI

Calhoun Liberty Hospital Association, Inc.

  • Critical Access Hospital
  • Blountstown, FL
National Provider Identifier
1437253085
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
4019 Issued in FL
Legal business name
CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC.
Practice address
16257 State Road 71 S
Blountstown, FL 32424-2808
Phone
(850) 674-5411
Fax
(800) 287-4394
NPI assigned
Sep 12, 2006
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Emily Marlo Brown
Title
Chief Execuitve Officer
Phone
(850) 674-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 4019 FL Primary

Addresses

Primary practice location

16257 State Road 71 S
Blountstown, FL 32424-2808

Mailing address

16257 State Road 71 S
Blountstown, FL 32424-2808
Phone (850) 674-5411

Other identifiers 1

IdentifierTypeStateIssuer
010026900MedicaidFL

Other names 1

  • CALHOUN-LIBERTY HOSPITAL Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060203000114 FL Part A Provider - Hospital 5890770846 Practice locations: Blountstown, FL
O20070509000586 FL Part B Supplier - Hospital Department(S) 8820007016 Receives reassigned benefits from 24 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Blountstown, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437253085. Details of each certification follow.

Hospital certification: CCN 101304

Legal name
CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC.
Doing business as
CALHOUN-LIBERTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2001
Last certification
Oct 26, 2023
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2006 (3 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2000 in FL
Enrollment address
20370 NE Burns Ave
Blountstown, FL 32424-1045
Main/Primary Hospital Location
Hospital subgroups
General, Swing-bed approved, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Calhoun-Liberty HospitalCCN 101304 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

204 Bay Ave
Richton, MS 39476
Phone (601) 788-2241

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Emily Brown Individual Corporate OfficerChief Executive Officer Apr 23, 2024
W-2 Managing EmployeeChief Executive Officer Apr 23, 2024
Vann Windham Individual Contracted Managing EmployeeCfo Oct 7, 2024
Corporate OfficerCfo Oct 7, 2024
W-2 Managing EmployeeCfo Oct 7, 2024
Operational/Managerial ControlCfo Oct 7, 2024
Shondel Frear Individual W-2 Managing EmployeeBusiness Office Director Mar 1, 2024
Operational/Managerial ControlBusiness Office Director Mar 1, 2024

Practitioners & affiliated clinicians

Practitioners 16

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 16

Affiliated clinicians 63

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1437253085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16257 STATE ROAD 71 S",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324242808",
            "telephone_number": "850-674-5411",
            "fax_number": "800-287-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16257 STATE ROAD 71 S",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324242808",
            "telephone_number": "850-674-5411",
            "fax_number": "800-287-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "MARLO",
        "authorized_official_title_or_position": "CHIEF EXECUITVE OFFICER",
        "authorized_official_telephone_number": "850-674-5411"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "FL",
            "license": "4019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010026900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALHOUN-LIBERTY HOSPITAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blountstown, FL

Sources for this page

Verify at the official NPI Registry.