NPIMap

Organization Active NPI

Grant Center Hospital of Ocala Inc.

Doing business as Family Medical Clinic

  • Family Medicine Physician
  • Chattahoochee, FL
National Provider Identifier
1912947730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRANT CENTER HOSPITAL OF OCALA INC.
Doing business as
Family Medical Clinic
Practice address
409 High St
Chattahoochee, FL 32324-1303
Phone
(850) 663-4643
NPI assigned
Jun 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mickey Pickler
Title
VP
Phone
(850) 663-4643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

409 High St
Chattahoochee, FL 32324-1303

Mailing address

409 High St
Chattahoochee, FL 32324-1303
Phone (850) 663-4643

Other names 1

  • Family Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capital Regional Healthcare in Southwood3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912947730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 HIGH ST",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241303",
            "telephone_number": "850-663-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 HIGH ST",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241303",
            "telephone_number": "850-663-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT CENTER HOSPITAL OF OCALA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKLER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "850-663-4643"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattahoochee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.