Florida Department of Health
Organization Active NPI Public Health or Welfare Agency · Apalachicola, FL
NPI 1902879786 · NPPES record last updated Dec 30, 2014
Key facts
- NPI
- 1902879786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- FLORIDA DEPARTMENT OF HEALTH
- Practice address
- 139 12TH St
Apalachicola, FL 32320-2110 - Phone
- (850) 653-2111
- Fax
- (850) 653-1727
- NPI assigned
- Feb 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Debra J Fischer
- Title
- Contract Manager
- Phone
- (850) 227-1276
Corporate family (same tax ID) 24
Practitioners 7
-
Brittany Jade Beauchamp, APRN
-
Alicia Cosma Gilbert, FNP
-
Andrea Sciberras, D.O.
-
David James Whitfield, MSPT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Walton Community Health Center |
Federally qualified health center | Operational/Managerial Control (100%) | Sep 7, 2010 |
| Bradford Community Health Care Inc |
Federally qualified health center | Operational/Managerial Control (100%) | Oct 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080811000171 | FL | Part B Supplier - Clinic/Group Practice | 3072424282 |
Receives reassigned benefits from 6 practitioners Practice locations: Apalachicola, FL; Carrabelle, FL |
National Provider Directory
- Tax ID family
- Dept of Health Central Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
139 12TH St
Apalachicola, FL 32320-2110
Mailing address
2475 Garrison Ave
Port St Joe, FL 32456-5265
Phone (850) 227-1276
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77704 | Other | FL | BCBS |
| 027929300 | Medicaid | FL |
Other names
- Franklin County Health Dept
Other providers in Apalachicola, FL
- Dassee Community Health Systems
- Marsha L Davis
- Disc Village, Inc.
- Charles Joseph Faircloth
- Florida Coastal Cardiology P a
- Florida Psychology Services, LLC
- Franklin County Board of County Commissioners
- Franklin County Board of County Commissioners
- Franklin County Board of County Commissioners
- Franklin County Board of County Commissioners
All providers in Apalachicola, FL · Public Health or Welfare Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2014. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.