Organization Active NPI

Bay Medical Center

Doing business as Bay Behavioral Health

  • Psychiatric Hospital Unit
  • Panama City, FL
National Provider Identifier
1992756126
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
BAY MEDICAL CENTER
Doing business as
Bay Behavioral Health
Practice address
1940 Harrison Ave
Panama City, FL 32405-4542
Phone
(888) 313-5258
Fax
(205) 313-5245
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Daniel Morgan
Title
Cfo
Phone
(850) 763-0017

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

1940 Harrison Ave
Panama City, FL 32405-4542

Mailing address

PO Box 11407
Birmingham, AL 35246-0895
Phone (888) 313-5258

Other identifiers 3

IdentifierTypeStateIssuer
056445100MedicaidFL
38589OtherFLBCBS GRP #
371451176OtherFLTRICARE GRP #

Other names 1

  • Bay Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1992756126. Details of each certification follow.

Hospital certification: CCN 104047

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CCS BAY COUNTY HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jun 4, 1997
Provider type (POS)
Hospital – Psychiatric
Participating since
Dec 21, 1989
Last certification
Sep 27, 1990
Beds
80
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 2, 1997 (1 total)
Facility address
1940 Harrison Ave
Panama City, FL 32405

Hospital certification: CCN 104066

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BAY MED BEHAVIORAL HEALTH CENTER
Certification status
Terminated Other: provider status change, Mar 10, 2000
Provider type (POS)
Hospital – Psychiatric
Participating since
Jun 4, 1997
Last certification
Oct 14, 1999
Beds
80
Ownership / control type
Hospital district or authority
Most recent change of ownership
Mar 9, 2000 (1 total)
Facility address
1940 Harrison Avenue
Panama City, FL 32405

National Provider Directory

National Provider Directory
Tax ID family
Bay Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1992756126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460895",
            "telephone_number": "888-313-5258",
            "fax_number": "205-313-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054542",
            "telephone_number": "888-313-5258",
            "fax_number": "205-313-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-763-0017"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056445100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP #",
            "identifier": "38589",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE GRP #",
            "identifier": "371451176",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.