NPIMap

Organization Active NPI

Florida Department of Health, Children's Medical Services Health Plan

  • Public Health or Welfare Agency
  • Tallahassee, FL
National Provider Identifier
1982357679
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FLORIDA DEPARTMENT OF HEALTH, CHILDREN'S MEDICAL SERVICES HEALTH PLAN
Practice address
2585 Merchants Row Blvd
Tallahassee, FL 32399-6607
Phone
(850) 245-4200
Fax
(850) 617-6466
NPI assigned
Feb 2, 2022
Last updated
Feb 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Ms. Andrea Gary
Title
Director
Phone
(850) 245-4738

Specialties & licenses 1

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

Addresses

Primary practice location

2585 Merchants Row Blvd
Tallahassee, FL 32399-6607

Mailing address

4052 Bald Cypress Way Bin #A06
Tallahassee, FL 32399-1707
Phone (850) 245-4200

Other identifiers 1

IdentifierTypeStateIssuer
100992705MedicaidFL

Other names 1

  • CMS Health Plan Region 5 Other name

National Provider Directory

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

Organizations with this tax ID in the same state 16

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

View all 16

Locations

4052 Bald Cypress Way
#A6
Tallahassee, FL 32399
Phone (850) 245-4444

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1982357679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 BALD CYPRESS WAY BIN #A06",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323991707",
            "telephone_number": "850-245-4200",
            "fax_number": "850-617-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 MERCHANTS ROW BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323996607",
            "telephone_number": "850-245-4200",
            "fax_number": "850-617-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH, CHILDREN'S MEDICAL SERVICES HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-245-4738",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100992705",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMS Health Plan Region 5",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.