Live Oak Hma LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

4314 Issued in FL

Legal business name

LIVE OAK HMA LLC

Doing business as

Hamilton Primary Care

Practice address

413 5TH Ave NW Ste a
Jasper, FL 32052-7801

Phone

(386) 292-8132

Fax

(386) 792-7745

NPI assigned

Sep 9, 2014

Last updated

Oct 16, 2019By 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

Paula Lalor

Title

Director/Delegated Official

Phone

(615) 925-4565

Specialties & licenses 1

Addresses

Other names 1

• Hamilton Primary Care Doing business as

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1922409010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-778-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 5TH AVE NW STE A",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320527801",
            "telephone_number": "386-292-8132",
            "fax_number": "386-792-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": "4314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jhawks Transportation
• Lore Johns, L.P.N.
• Ashley Paige Jones, APRN
• Pamela Joy Kiselica
• Live Oak Hma LLC (Hamilton Primary Care)
• Live Oak Immediate Care Center LLC
• Lovingcare Home Care Services LLC
• Latia Lumpkin
• Shannon Marie Luyando, BA, PP
• Jamyla Joanne Marshall

• Rural Health Clinic/Center in Jasper, FL
• Providers in Jasper, 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 Oct 16, 2019; 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.