Live Oak Hma LLC
Organization Active NPI Rural Health Clinic/Center · Jasper, FL
NPI 1922409010 · NPPES record last updated Oct 16, 2019
Key facts
- NPI
- 1922409010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 4314 (FL)
- Legal business name
- LIVE OAK HMA LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Paula Lalor
- Title
- Director/Delegated Official
- Phone
- (615) 925-4565
National Provider Directory
Locations
1150 US Highway 41 NW
Ste 11
Jasper, FL 32052
Phone (386) 292-6563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 4314 | FL | Yes |
Addresses
Primary practice location
413 5TH Ave NW Ste a
Jasper, FL 32052-7801
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Phone (615) 778-8196
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016770200 | Medicaid | FL |
Other names
- Hamilton Primary Care
Other providers in Jasper, FL
- Jhawks Transportation
- Lore Johns
- Ashley Paige Jones
- Pamela Joy Kiselica
- Live Oak Hma LLC
- Live Oak Immediate Care Center LLC
- Lovingcare Home Care Services LLC
- Latia Lumpkin
- Shannon Marie Luyando
- Jamyla Joanne Marshall
All providers in Jasper, FL · Rural Health Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.