Hiscare Clinic LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

HISCARE CLINIC LLC

Doing business as

Hiscare Clinic

Practice address

4577 Collins Rd
Marianna, FL 32448-5030

Phone

(850) 693-3055

Fax

(850) 482-5208

NPI assigned

Nov 5, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Angela McFarland

Title

Ceo/Administrator

Phone

(850) 693-3055

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Hiscare Clinic Doing business as

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1912251562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 COLLINS RD",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324485030",
            "telephone_number": "850-693-3055",
            "fax_number": "850-482-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 COLLINS RD",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324485030",
            "telephone_number": "850-693-3055",
            "fax_number": "850-482-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "850-693-3055",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HISCARE07",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hiscare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leticia Tenaya Henderson Baker, MS, LMHC
• Duane Herring, M.D.
• Pamela Dickens Hill, NP
• Scarlett Brandi Hinson, CRNA
• Tonia Tyus Hinson
• Rachel L Hodge, M.S
• Cozy Renee Holden
• Holiday CVS LLC
• Stephanie James Hollister, M.S.
• Leandra Holmes, COTA/L

• Health Maintenance Organization in Marianna, FL
• Providers in Marianna, 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 Nov 5, 2012; 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.