NPIMap

Organization Active NPI

Florida Department of Health

Doing business as Bradford County Health Department

  • Public Health or Welfare Agency
  • Starke, FL
National Provider Identifier
1932174240
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Doing business as
Bradford County Health Department
Practice address
1801 N Temple Ave
Starke, FL 32091-1960
Phone
(904) 964-7732
Fax
(904) 964-3024
NPI assigned
Feb 21, 2006
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Amie Oody
Title
CHD Administrator
Phone
(904) 964-7732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1801 N Temple Ave
Starke, FL 32091-1960

Mailing address

1801 N Temple Ave
Starke, FL 32091-1960
Phone (904) 964-7732

Other identifiers 2

IdentifierTypeStateIssuer
027914500MedicaidFL
027914591MedicaidFL

Other names 1

  • Bradford County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040825001552 FL Part B Supplier - Clinic/Group Practice 3072424282 Receives reassigned benefits from 26 practitioners
2 other NPIs on this enrollment
Practice locations: North Port, FL; Sarasota, FL
O20061207000308 FL Part B Supplier - Clinic/Group Practice 3072424282 Receives reassigned benefits from 5 practitioners
Practice locations: Starke, FL
O20141111000299 FL Part A Provider - Federally Qualified Health Center (FQHC) 3072424282 Practice locations: Starke, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932174240. Details of each certification follow.

Federally qualified health center certification: CCN 101182

Legal name
FLORIDA DEPARTMENT OF HEALTH
Doing business as
BRADFORD COMMUNITY HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 11, 2014
Last certification
Nov 11, 2014
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
1801 N Temple Ave
Starke, FL 32091-1960

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0677740Bradford County Health Department1801 N Temple Ave, Starke, FL 32091Provider-performed microscopyNov 7, 2026

National Provider Directory

National Provider Directory
Tax ID family
Agape Community Health185 organizations share this tax ID, including this one
Part of
Agape Community Health

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Florida Department of Health Organization, Starke, FL Operational/Managerial Control Oct 1, 2013 100%
Amie Oody Individual W-2 Managing EmployeeAd; Jan 3, 2013 0.5%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Walton Community Health CenterDefuniak Springs, FL, CCN 101136 Federally qualified health center Operational/Managerial Control (100%) Sep 7, 2010

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1932174240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N TEMPLE AVE",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320911960",
            "telephone_number": "904-964-7732",
            "fax_number": "904-964-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N TEMPLE AVE",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320911960",
            "telephone_number": "904-964-7732",
            "fax_number": "904-964-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA DEPARTMENT OF HEALTH",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "OODY",
        "authorized_official_first_name": "AMIE",
        "authorized_official_title_or_position": "CHD ADMINISTRATOR",
        "authorized_official_telephone_number": "904-964-7732"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027914500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027914591",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradford County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starke, FL

Sources for this page

Verify at the official NPI Registry.