CALHOUN-LIBERTY HOSPITAL ASSOCIATION INC (NPI# 1588944334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588944334 |
Entity Type | Organization |
Organization Name | CALHOUN-LIBERTY HOSPITAL ASSOCIATION INC |
Other Organization Name | CALHOUN-LIBERTY PRIMARY CARE CLINIC |
Practice Address |
20370 Ne Burns Ave Blountstown FL 32424-1045 |
Practice Telephone | 8506745411 |
Practice Fax Number | 8506743550 |
Mailing Telephone | 8506745411 |
Mailing Fax Number | 8506743550 |
Enumeration Date | 2011-08-25 |
Last Update Date | 2011-11-22 |
Authorized Official Name | MRS. DARA NICOLE TAYLOR (BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 8506745411 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
HCC680 | FL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Calhoun-Liberty Primary Care Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649596784 | Calhoun-liberty Hospital Association Inc | Clinic/Center | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2010-04-14 |
1033434196 | Calhoun-liberty Hospital Association Inc | Skilled Nursing Facility | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2010-04-01 |
1992973499 | Calhoun-liberty Hospital Association Inc | Ambulance | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2008-02-19 |
Street Address |
20370 NE BURNS AVE |
City | BLOUNTSTOWN |
State | FL |
Zip Code | 32424-1045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740285139 | Dassee Community Health Systems | General Acute Care Hospital | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2005-06-14 |
1467908426 | Robert Casey Dobson | Nurse Practitioner | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2016-08-30 |
1659739571 | Cindy Mears Porter | Nurse Practitioner | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2016-02-05 |
1508221284 | Mary Sue Moore | Nurse Practitioner | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2015-12-22 |
1407286784 | Laura Ford | Registered Nurse | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2013-11-22 |
1053675660 | Dermatology Associates of Bay County, Pa | Dermatology | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2012-06-28 |
1649596784 | Calhoun-liberty Hospital Association Inc | Clinic/Center | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2010-04-14 |
1033434196 | Calhoun-liberty Hospital Association Inc | Skilled Nursing Facility | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2010-04-01 |
1992973499 | Calhoun-liberty Hospital Association Inc | Ambulance | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2008-02-19 |
1033279989 | Linda S Deese | Nurse Practitioner | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2006-12-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841738796 | Marsana Brunner | Nurse Practitioner | 16875 Ne Cayson St, Blountstown, FL 32424 | 2017-02-10 |
1316395890 | Panhandle Home Care | Home Health | 16364 Sw Chipola Road, Blountstown, FL 32424 | 2016-05-25 |
1659743813 | Tender Loving Enrichment Services | Custodial Care Facility | 17434 Nw 11th St, Blountstown, FL 32424 | 2015-10-28 |
1992040034 | Heather Montford King | Social Worker | 10611 Nw Sr 20, Bristol, FL 32424 | 2012-11-30 |
1821305988 | Senior Dental Care, LLC | Dentist | 20120 Central Avewest, Blountstown, FL 32424 | 2010-09-09 |
1164756359 | Amy Kleinrichert Hurt | Speech-Language Pathologist | 19977 N.e. Marie Ave., Blountstown, FL 32424 | 2009-09-22 |
1477725315 | Torreya Emergency Physicians | Emergency Medicine | 424 Burns Avenue, Blountstown, FL 32424 | 2008-04-01 |
1770793184 | Alexandra Kimbrel | Pharmacist | 20700 Central Ave W, Blountstown, FL 32424 | 2007-05-23 |
1770628315 | Howell Stewart Goodman Sr. | Pharmacist | 17324 Main Street North, Blountstown, FL 32424 | 2007-02-21 |
1831237825 | Patricia F. Lowther | Speech-Language Pathologist | 5901 Whitfield Ave., Sarasota, FL 32424 | 2007-02-02 |
Find all providers in zip 32424 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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Find all providers with the same taxonomy |
City | BLOUNTSTOWN |
Zip Code | 32424 |
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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.