NPIMap

Organization Active NPI

Franklin County Board of County Commissioners

  • Rural Health Clinic/Center
  • Apalachicola, FL
National Provider Identifier
1649516899
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
HCC10363 Issued in FL
Legal business name
FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
Practice address
137 12TH Street
Apalachicola, FL 32320
Phone
(850) 653-1525
Fax
(850) 653-1548
NPI assigned
Dec 17, 2012
Organization subpart
Yes
Parent organization
FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
David Walker
Title
Ceo
Phone
(850) 653-8853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X HCC10363 FL Primary

Addresses

Primary practice location

137 12TH Street
Apalachicola, FL 32320

Mailing address

PO Box 580
Apalachicola, FL 32329-0580
Phone (850) 653-8853

Other identifiers 1

IdentifierTypeStateIssuer
106170600MedicaidFL

Other names 1

  • Weems Medical Center West Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbuskirk@weemsmemorial.com Direct

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110218000010 FL Part B Supplier - Clinic/Group Practice 3274541115 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Apalachicola, FL; Carrabelle, FL
O20160317000000 FL Part A Provider - Rural Health Clinic 3274541115 Practice locations: Apalachicola, FL

Rural health clinic certification: CCN 103456

Legal name
FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
Doing business as
WEEMS MEDICAL CENTER WEST
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 4, 2018
Last certification
Jan 4, 2018
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
137 12TH St
Apalachicola, FL 32320-2110
Related CCNs
101305

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

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Franklin County Board of County Commissioners4 organizations share this tax ID, including this one
Part of
Franklin County Board of County Commissioners

Other organizations with this tax ID 3

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

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
Franklin County Board of County Commissioners Organization, Apalachicola, FL 5% Or Greater Direct Ownership Interest Feb 23, 2006 100%
David Bernard Walker Individual Contracted Managing Employee Jan 1, 2021 50%
Corporate OfficerCeo Sep 12, 2019 50%
David Bowling Individual Corporate OfficerCfo Jun 1, 2024 50%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
George E Weems Memorial HospitalApalachicola, FL, CCN 10Z305 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2006
George E Weems Memorial HospitalApalachicola, FL, CCN 101305 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2006
Weems Medical Center EastCarrabelle, FL, CCN 103459 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 26, 2008

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1649516899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "APALACHICOLA",
            "state": "FL",
            "postal_code": "323290580",
            "telephone_number": "850-653-8853",
            "fax_number": "850-653-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 12TH STREET",
            "city": "APALACHICOLA",
            "state": "FL",
            "postal_code": "32320",
            "telephone_number": "850-653-1525",
            "fax_number": "850-653-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS",
        "enumeration_date": "2012-12-17",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-653-8853"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": "HCC10363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106170600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbuskirk@weemsmemorial.com",
            "affiliation": "N",
            "endpointDescription": "Practice Manager",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "137 12th Street",
            "city": "Apalachicola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Weems Medical Center West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Weems Medical Center West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apalachicola, FL

Sources for this page

Verify at the official NPI Registry.