NPIMap

Organization Active NPI

Florida Department of Health

Doing business as Nassau County Health Department

  • Public Health or Welfare Agency
  • Yulee, FL
National Provider Identifier
1558339028
Registry record updated Jan 31, 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
Nassau County Health Department
Practice address
86014 Pages Dairy Road
Yulee, FL 32097
Phone
(904) 548-1880
Fax
(904) 225-0850
NPI assigned
Mar 10, 2006
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Care Gluck
Title
Health Administrator/Health Officer
Phone
(904) 753-1231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

86014 Pages Dairy Road
Yulee, FL 32097

Mailing address

30 S 4TH St
Fernandina Beach, FL 32034-4272
Phone (904) 548-1800

Other identifiers 1

IdentifierTypeStateIssuer
0279552MedicaidFL

Other names 1

  • Nassau 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
O20031229000209 FL Part B Supplier - Clinic/Group Practice 3072424282 Receives reassigned benefits from 7 practitioners
Practice locations: Callahan, FL; Fernandina Beach, FL; Yulee, FL

National Provider Directory

National Provider Directory
Tax ID family
Agape Community Health185 organizations share this tax ID, including this one
Part of
Agape Community Health

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

1620 Nectarine St
Fernandina Beach, FL 32034
Phone 90454818005210

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 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1558339028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S 4TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344272",
            "telephone_number": "904-548-1800",
            "fax_number": "904-277-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86014 PAGES DAIRY ROAD",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "32097",
            "telephone_number": "904-548-1880",
            "fax_number": "904-225-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA DEPARTMENT OF HEALTH",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "GLUCK",
        "authorized_official_first_name": "CARE",
        "authorized_official_title_or_position": "HEALTH ADMINISTRATOR/HEALTH OFFICER",
        "authorized_official_telephone_number": "904-753-1231"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279552",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nassau County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yulee, FL

Sources for this page

Verify at the official NPI Registry.