Apalachee Center, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

101YM0800X Issued in FL

Legal business name

APALACHEE CENTER, INC

Practice address

1996 S Jefferson Hwy
Monticello, FL 32344-5100

Phone

(850) 997-3958

Fax

(850) 997-0983

NPI assigned

Oct 30, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Gwendolyn Denise Sheppard, MS

Title

Program Supervisor

Phone

(850) 997-3958

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1770911786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 S JEFFERSON HWY",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323445100",
            "telephone_number": "850-997-3958",
            "fax_number": "850-997-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 S JEFFERSON HWY",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323445100",
            "telephone_number": "850-997-3958",
            "fax_number": "850-997-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APALACHEE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PROGRAM SUPERVISOR",
        "authorized_official_telephone_number": "850-997-3958",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1780 Management LLC
• Adin Matthew Mora Velazquez Jr
• Alliance Family Resource Services
• Angels on Assignment
• Apalachee Center Inc
• Jonathan S Appelbaum, M.D.
• Archbold Medical Group
• Attentive in Home Care
• Brian Thomas Ballard, O.F.A.
• Katherine Bass

• Health Maintenance Organization in Monticello, FL
• Providers in Monticello, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.