CALHOUN-LIBERTY HOSPITAL ASSOCIATION INC (NPI# 1649596784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649596784 |
Entity Type | Organization |
Organization Name | CALHOUN-LIBERTY HOSPITAL ASSOCIATION INC |
Other Organization Name | CALHOUN-LIBERTY HOSPITAL |
Practice Address |
20370 Ne Burns Ave Blountstown FL 32424-1045 |
Mailing Address |
20370 Ne Burns Ave Po Box 419 Blountstown FL 32424-1045 |
Practice Telephone | 8506745411 |
Practice Fax Number | 8506743550 |
Mailing Telephone | 8506745411 |
Mailing Fax Number | 8506743550 |
Enumeration Date | 2010-04-14 |
Last Update Date | 2010-06-14 |
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 | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
4019 | FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 276476800 | 05 |
Other Name | Type Code |
---|---|
CALHOUN-LIBERTY HOSPITAL | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588944334 | Calhoun-liberty Hospital Association Inc | Clinic/Center | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2011-08-25 |
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 |
1588944334 | Calhoun-liberty Hospital Association Inc | Clinic/Center | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2011-08-25 |
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 | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
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Find all providers with the same taxonomy |
City | BLOUNTSTOWN |
Zip Code | 32424 |
Please comment or provide details below to improve the information on CALHOUN-LIBERTY HOSPITAL ASSOCIATION INC.
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.