Liberty Community Health Care, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS7759 Issued in FL

Legal business name

LIBERTY COMMUNITY HEALTH CARE, INC

Practice address

17316 NE State Road 65
Hosford, FL 32334-2415

Phone

(850) 379-5800

Fax

(850) 379-5811

NPI assigned

Nov 5, 2015

Last updated

Jan 4, 2017By 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

Mrs. Peggy Deason Howland

Title

Chief Executive Officer

Phone

(850) 379-5800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1962875435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17316 NE STATE ROAD 65",
            "city": "HOSFORD",
            "state": "FL",
            "postal_code": "323342415",
            "telephone_number": "850-379-5800",
            "fax_number": "850-379-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17316 NE STATE ROAD 65",
            "city": "HOSFORD",
            "state": "FL",
            "postal_code": "323342415",
            "telephone_number": "850-379-5800",
            "fax_number": "850-379-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY COMMUNITY HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "HOWLAND",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "DEASON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "850-379-5800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS7759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016050000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Brown, COTA
• Eugene G Charbonneau, D.O.
• Florida Department of Health (Liberty County Health Department/Liberty Community Healthcare, Inc)
• Brittany Middleton Geiger, M.S. CCC-SLP
• Thomas Howell, PHARMD
• Roberts Therapy Solutions LLC
• Stephenie Ford Roberts, MS CCC-SLP
• Torreya Health Care Inc
• Lindsey Brady White
• Cynthia Minter Williams, ARNP

• General Practice Physician in Hosford, FL
• Providers in Hosford, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.