NPIMap

Organization Active NPI

Florida Department of Health

  • Clinic/Center
  • Ocala, FL
National Provider Identifier
1447296389
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Practice address
1801 SE 32ND Ave
Ocala, FL 34471-5532
Phone
(352) 629-0137
Fax
(352) 620-6840
NPI assigned
Jun 21, 2006
Organization subpart
Yes
Parent organization
FLORIDA DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Mrs. Sherry L Duncan
Title
Administrative Services Director
Phone
(352) 629-0137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FL Primary

Addresses

Primary practice location

1801 SE 32ND Ave
Ocala, FL 34471-5532

Mailing address

1801 SE 32ND Ave
Ocala, FL 34471-5532
Phone (352) 629-0137

Other identifiers 1

IdentifierTypeStateIssuer
027952800MedicaidFL

Other names 1

  • MARION COUNTY HEALTH DEPARTMENT Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100518000150 FL Part B Supplier - Clinic/Group Practice 3072424282 Receives reassigned benefits from 12 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory
Part of
Dept of Health Central Pharmacy

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 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1447296389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SE 32ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715532",
            "telephone_number": "352-629-0137",
            "fax_number": "352-620-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE 32ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715532",
            "telephone_number": "352-629-0137",
            "fax_number": "352-620-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA DEPARTMENT OF HEALTH",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES DIRECTOR",
        "authorized_official_telephone_number": "352-629-0137",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027952800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARION COUNTY HEALTH DEPARTMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.