Franklin County Board of County Commissioners
Organization Active NPI Critical Access Hospital · Apalachicola, FL
NPI 1790736767 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1790736767
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 4173 (FL)
- Legal business name
- FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
- Practice address
- 135 Avenue G
Apalachicola, FL 32320-1613 - Phone
- (850) 653-8853
- Fax
- (850) 653-2474
- NPI assigned
- May 15, 2006
- Organization subpart
- No
Authorized official
- Name
- David B Walker
- Title
- Ceo
- Phone
- (850) 653-8853
Owners & managing parties with NPI records 3
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Related certifications (CCN) 2
Facilities with the same owner 2
Practitioners 53
-
Cheava L Jacks, MD
-
Paul Nicholas Motta, M.D.
-
Joshua P Dietzer, M.D.
-
Susan A. Gootnick, M.D.
-
Johnathan Charles Hays, M.D.
-
Farzaneh Kazimi, M.D.
-
Gholamreza Malek, M.D.
-
John M Pohl, MD
-
Jason Robert Ross, M.D.
-
Amit Kumar Sanghi, D.O.
-
Adel Abdalla, M.D.
-
Dennis M Burton, M.D.
-
Patrick F Conrad, MD
-
Paul D Hart, MD
-
Philip B. McDonald, M.D.
-
Abbas A Chamsuddin, M.D.
-
Russell Gerald Gelormini, D.O.
-
Justin Hung Pham, M.D.
Affiliated clinicians 24
-
Wade Baggs, MD
-
Rachel Marie Bixler, M.D.
-
Doris M Carmichael, ARNP
-
Lionel B Catlin, MD
-
Patrick F Conrad, MD
-
Paul D Hart, MD
-
Cheava L Jacks, MD
-
Sarah Kinel, ARPN-BC
-
Paul Nicholas Motta, M.D.
-
Amanda Marie Pache, APRN
-
Daniel B Perkins, MD
-
Richard Petch, ARNP
-
Ryan P Pharr, DO
-
Terri Lynn Roberts, FNP-C
-
Angela Marie Scholl, ARNP
-
Jean-Paul Tran, MD
-
Ernesto None Umana, M.D.
-
Sussete Valdueza, ARNP
-
Dana Omega Whaley, ARNP-C
-
Susan A. Gootnick, M.D.
Medicare Care Compare: Hospital
- Listed as
- George E Weems Memorial Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in FL
Hospital certification: CCN 10Z305
- Legal name
- FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
- Doing business as
- GEORGE E WEEMS MEMORIAL HOSPITAL
- Organization structure
- Other · Non-profit
- Enrollment address
- 135 Avenue G
Apalachicola, FL 32320-1613
Hospital certification: CCN 101305
- Legal name
- FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
- Doing business as
- GEORGE E WEEMS MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jun 5, 2001
- Last certification
- Aug 4, 2022
- Beds
- 25
- Ownership / control type
- Local
- Most recent change of ownership
- Jan 1, 2006 (1 total)
- Organization structure
- Government · Non-profit
- Enrollment address
- 135 Avenue G
Apalachicola, FL 32320-1613
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Franklin County Board of County Commissioners |
5% Or Greater Direct Ownership Interest | Jan 1, 2006 | 100% |
| David Bernard Walker |
Corporate Officer |
Sep 12, 2019 | 50% |
| W-2 Managing Employee |
Aug 16, 2019 | 50% | |
| Corporate Officer |
Aug 19, 2019 | 50% | |
| W-2 Managing Employee |
Aug 19, 2019 | 50% | |
| David Bowling |
Corporate Officer |
Jun 1, 2024 | 50% |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Weems Medical Center West |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 23, 2006 |
| Weems Medical Center East |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Nov 26, 2008 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070816000350 | FL | Part B Supplier - Hospital Department(S) | 3274541115 |
Receives reassigned benefits from 39 practitioners Practice locations: Apalachicola, FL |
| O20111013000094 | FL | Part a Provider - Critical Access Hospital | 3274541115 | Practice locations: Apalachicola, FL |
| O20210527002142 | FL | Part a Provider - Critical Access Hospital | 3274541115 | Practice locations: Carrabelle, FL; Apalachicola, FL |
| O20250408001780 | FL | Part B Supplier - Mammography Center | 3274541115 | Practice locations: Apalachicola, FL |
National Provider Directory
- Tax ID family
- Franklin County Board of County Commissioners
Locations
1001 Gray Ave
Carrabelle, FL 32322
Phone (850) 653-8853
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 4173 | FL | Yes |
Addresses
Primary practice location
135 Avenue G
Apalachicola, FL 32320-1613
Mailing address
135 Avenue G
Apalachicola, FL 32320-1613
Phone (850) 653-8853
Other names
- GEORGE E WEEMS MEMORIAL HOSPITAL
- George E. Weems Memorial Hospital
Other providers in Apalachicola, FL
- Florida Department of Health
- Florida Psychology Services, LLC
- Franklin County Board of County Commissioners
- Franklin County Board of County Commissioners
- Franklin County Board of County Commissioners
- Franklin County School Board
- Franklin County School Board
- Franklin County School Board
- Franklin County School Board
- Franklin County School Board
All providers in Apalachicola, FL · Critical Access Hospital in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.