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Organization Active NPI

Calhoun-Liberty Hospital Association Inc

  • Land Ambulance
  • Blountstown, FL
National Provider Identifier
1992973499
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2981 Issued in FL
Legal business name
CALHOUN-LIBERTY HOSPITAL ASSOCIATION INC
Practice address
20382 NW Pennington Ave
Blountstown, FL 32424-1322
Phone
(850) 674-5411
Fax
(800) 287-4394
NPI assigned
Feb 19, 2008
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Emily Marlo Brown
Title
Ceo
Phone
(850) 674-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2981 FL Primary

Addresses

Primary practice location

20382 NW Pennington Ave
Blountstown, FL 32424-1322

Mailing address

16257 State Road 71 S
Blountstown, FL 32424-2808
Phone (850) 674-5411

Other practice location 1

16257 State Road 71 S
Blountstown, FL 32424-2808
Phone (850) 674-5411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080428000021 FL Part B Supplier - Ambulance Service Supplier 8820007016 Practice locations: Blountstown, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Calhoun-Liberty Hospital3 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.

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Calhoun Liberty HospitalBlountstown, FL, CCN 10Z304 Hospital Operational/Managerial Control (100%) Dec 20, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1992973499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16257 STATE ROAD 71 S",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324242808",
            "telephone_number": "850-674-5411",
            "fax_number": "800-287-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20382 NW PENNINGTON AVE",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241322",
            "telephone_number": "850-674-5411",
            "fax_number": "800-287-4394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16257 State Road 71 S",
            "address_purpose": "LOCATION",
            "city": "Blountstown",
            "state": "FL",
            "postal_code": "324242808",
            "country_code": "US",
            "telephone_number": "850-674-5411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALHOUN-LIBERTY HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "MARLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-674-5411"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "2981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountstown, FL

Sources for this page

Verify at the official NPI Registry.