Organization Active NPI

Health Services of Palatka

  • Skilled Nursing Facility
  • Palatka, FL
National Provider Identifier
1669625463
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HEALTH SERVICES OF PALATKA
Practice address
110 Kay Larkin Dr
Palatka, FL 32177-2300
Phone
(386) 325-0173
NPI assigned
Oct 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Mr. Sidney Duane Gallagher
Title
President
Phone
(850) 830-6355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

110 Kay Larkin Dr
Palatka, FL 32177-2300

Mailing address

124 Peters CT
Freeport, FL 32439-6646
Phone (850) 830-6355

Other names 1

  • Palatka Health Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

110 Kay Larkin Dr
Palatka, FL 32177
Phone (386) 325-0173

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1669625463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PETERS CT",
            "city": "FREEPORT",
            "state": "FL",
            "postal_code": "324396646",
            "telephone_number": "850-830-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772300",
            "telephone_number": "386-325-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES OF PALATKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-830-6355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palatka Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.