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Organization Active NPI

Florida Department of Health

Doing business as Leon County Health Department

  • Public Health or Welfare Agency
  • Tallahassee, FL
National Provider Identifier
1568428837
Registry record updated Jun 7, 2023
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
Leon County Health Department
Practice address
2965 Municipal Way
Tallahassee, FL 32316
Phone
(850) 606-8150
Fax
(850) 487-7954
NPI assigned
Apr 25, 2006
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Ms. Shaneika West
Title
Financial Administrator
Phone
(850) 404-6336

Specialties & licenses 1

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

Addresses

Primary practice location

2965 Municipal Way
Tallahassee, FL 32316

Mailing address

PO Box 2745
Tallahassee, FL 32316-2745
Phone (850) 606-8157

Other practice location 1

1515 Old Bainbridge Rd
Tallahassee, FL 32303-5340
Phone (850) 405-6372

Other identifiers 1

IdentifierTypeStateIssuer
0279471MedicaidFL

Other names 1

  • Leon 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
O20080714000700 FL Part B Supplier - Public Health/Welfare Agency 3072424282 Receives reassigned benefits from 9 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory
Part of
Agape Community Health

Locations

1515 Old Bainbridge Rd
Tallahassee, FL 32303
Phone (850) 606-8010

2965 Municipal Way
Tallahassee, FL 32304
Phone (850) 487-3186

2965 Municipal Way
#D
Tallahassee, FL 32304
Phone (850) 606-8150

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 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1568428837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2745",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323162745",
            "telephone_number": "850-606-8157",
            "fax_number": "850-404-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 MUNICIPAL WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32316",
            "telephone_number": "850-606-8150",
            "fax_number": "850-487-7954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Old Bainbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323035340",
            "country_code": "US",
            "telephone_number": "850-405-6372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA DEPARTMENT OF HEALTH",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "SHANEIKA",
        "authorized_official_title_or_position": "FINANCIAL ADMINISTRATOR",
        "authorized_official_telephone_number": "850-404-6336",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279471",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leon County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leon County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.