Bayline Medical Center Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BAYLINE MEDICAL CENTER INC

Practice address

402 Hwy 98 East
Carrabelle, FL 32322-1078

Phone

(850) 697-5540

Fax

(850) 697-2477

NPI assigned

Jul 5, 2006

Last updated

Jul 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Dana Holton, PAC

Title

Owner Ceo

Phone

(850) 697-5540

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1922038694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323221078",
            "telephone_number": "850-697-5540",
            "fax_number": "850-697-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 HWY 98 EAST",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323221078",
            "telephone_number": "850-697-5540",
            "fax_number": "850-697-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLINE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DANA",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "850-697-5540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahi Holdings, LLC (St. James Health and Rehabilitation Center)
• Arabella of Carrabelle Opco LLC (Arabella Health & Wellness of Carrabelle)
• Bert Bovard Boldt II, BS PT
• Carrabelle Medical Pharmacy
• Lionel B Catlin, MD
• Elizabeth Crossley
• Jonathan Edwin Fountain, MD

• Rural Health Clinic/Center in Carrabelle, FL
• Providers in Carrabelle, FL by specialty
• Rural Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.