EMERALD COAST BEHAVIORAL HOSPITAL, LLC (NPI# 1578795332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578795332 |
| Entity Type | Organization |
| Organization Name | EMERALD COAST BEHAVIORAL HOSPITAL, LLC |
| Practice Address |
1940 Harrison Avenue Panama City FL 32405-4542 |
| Practice Telephone | 8507630017 |
| Practice Fax Number | 8505326462 |
| Mailing Telephone | 8507630017 |
| Mailing Fax Number | 8505326462 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | STEVE FILTON (SR VP & CFO) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 283Q00000X | Psychiatric Hospital | Hospitals | ||
| Y | 283Q00000X | Psychiatric Hospital | 4500 | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001652300 | 05 |
| Street Address |
1940 HARRISON AVENUE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215140694 | Cheryl Ann Jones | Counselor | 1940 Harrison Avenue, Panama City, FL 32405-1620 | 2007-05-08 |
| 1720532211 | Megan Sue Mould | Social Worker | 1940 Harrison Avenue, Emerald Coast Behavioral Hospital, Panama City, FL 32405-6755 | 2016-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932742491 | Emerald Coast Behavioral Hospital LLC | Psychiatric Hospital | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2019-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952839201 | Oglethorpe of Orlando Inc | Psychiatric Hospital | 91 Beehive Cir, Saint Cloud, FL 34769-1432 | 2017-05-31 |
| 1619403359 | Laurie Lambert | Psychiatric Hospital | 14574 92nd Ct N, West Palm Beach, FL 33412-1729 | 2017-05-01 |
| 1538614565 | Dancing Heart Inc. | Psychiatric Hospital | 5520 Haverhill Rd N Apt 24, West Palm Beach, FL 33407-3000 | 2016-08-19 |
| 1285094813 | Southern Winds Hospital LLC | Psychiatric Hospital | 4225 W 20th Ave, Hialeah, FL 33012-5826 | 2016-02-24 |
| 1164812269 | Key Biscayne Psychiatry | Psychiatric Hospital | 240 Crandon Blvd Ste 230, Key Biscayne, FL 33149-1624 | 2015-01-27 |
| 1881096071 | Wilhelm C J Larsen Md Pa | Psychiatric Hospital | 351 Potter Rd, West Palm Beach, FL 33405-3621 | 2014-09-19 |
| 1902218449 | Shick Shadel of Florida LLC | Psychiatric Hospital | 5960 Sw 106th St, Cooper City, FL 33328-6410 | 2014-06-02 |
| 1740614734 | Daniel Leighton Hollar | Psychiatric Hospital | 2387 Parrot Ln, Tallahassee, FL 32303-8333 | 2013-08-26 |
| 1578814265 | Jackson South Community Hospital | Psychiatric Hospital | 9333 Sw 152 St, Miami, FL 33156 | 2012-09-21 |
| 1174836092 | Dfdfdf | Psychiatric Hospital | 7156 Colony Club Dr, 309, Lake Worth, FL 33463-7836 | 2010-07-20 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on EMERALD COAST BEHAVIORAL HOSPITAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.