NORTHWEST FLORIDA HEALTHCARE, INC (NPI# 1336163708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336163708 |
| Entity Type | Organization |
| Organization Name | NORTHWEST FLORIDA HEALTHCARE, INC |
| Practice Address |
1360 Brickyard Rd Chipley FL 32428-6303 |
| Practice Telephone | 8506381610 |
| Practice Fax Number | 8506385764 |
| Mailing Telephone | 8506381610 |
| Mailing Fax Number | 8506385764 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MARCEY LYNN MORGAN (CFO) |
| Authorized Official Telephone | 8504158127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
4005 | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010190700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942367057 | Northwest Florida Healthcare, Inc | Skilled Nursing Facility | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2007-01-02 |
| 1851458962 | Northwest Florida Healthcare, Inc | Surgery | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2007-01-02 |
| 1659438760 | Northwest Florida Healthcare, Inc | Medicare Defined Swing Bed Unit | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2007-01-02 |
| Street Address |
1360 BRICKYARD RD |
| City | CHIPLEY |
| State | FL |
| Zip Code | 32428-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305237 | Northwest Florida Healthcare, Inc. | Home Health | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2005-06-02 |
| 1518505684 | Michelle Newton | Registered Nurse | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2019-12-19 |
| 1104347004 | Katelyn Hicks | Nurse Practitioner | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2017-06-29 |
| 1871013441 | Dorothy Dianne Cash | Nurse Practitioner | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2017-06-23 |
| 1801213020 | Southland Hospitlalist At Chipley, Pl. | Hospitalist | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2014-03-26 |
| 1285874644 | Brinson Lomax Mcgowan | Orthopaedic Surgery | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2009-02-25 |
| 1215104526 | Nathanael L Hawkins | Family Medicine | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2008-05-15 |
| 1184824187 | David Khain Vay Taing | Chiropractor | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2007-07-19 |
| 1205973187 | Glynn Stephenson Seay | Nurse Anesthetist, Certified Registered | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2007-01-31 |
| 1942367057 | Northwest Florida Healthcare, Inc | Skilled Nursing Facility | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245590918 | Restore Therapy and Wellness, Inc. | Clinic/Center | 877 Third Street, Suite 1, Chipley, FL 32428 | 2012-05-29 |
| 1851470827 | Washington County School Board | Local Education Agency (LEA) | 652 3rd Street, Chipley, FL 32428 | 2006-11-02 |
| 1578659769 | Arthur Clayton Zediker | Dentist | 5016 Pine Ridge Dr, Chipley, FL 32428 | 2006-10-05 |
| 1528159480 | Teresa Lynn Seay | Nurse Practitioner | 1351 South Blvd, Chipley, FL 32428 | 2006-09-27 |
| 1386753044 | Jack Rogers Taylor | Dentist | 843 Hwy 277, Chipley, FL 32428 | 2006-08-29 |
| 1992818447 | William Edwin Cox IIi | Dentist | 699 2nd St, Chipley, FL 32428 | 2006-08-17 |
| 1255319695 | Samuel E Ward Md Pl | Family Medicine | 1410 Brickyard Rd, Chipley, FL 32428 | 2006-01-05 |
| 1407309867 | Doris M Roberts | Nurse Practitioner | 4455 Sam Mitchell Dr, Chipley, FL 32428 | 2016-08-02 |
| 1114017548 | Robert W Snare Md Pa | General Practice | 1187 Main St, Ste 3, Chipley, FL 32428 | 2006-10-14 |
| 1124117809 | Belinda Gail Parker Mcrae | Nurse Practitioner | 1410 Brickyard Rd, Samuel E Ward Md Pl, Chipley, FL 32428 | 2006-10-12 |
| Find all providers in zip 32428 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952850828 | Tanya Kischa Bethel-hall | General Acute Care Hospital | 3094 Nw 72nd Ave, Margate, FL 33063-7878 | 2016-10-03 |
| 1033663752 | Uf Health | General Acute Care Hospital | 3529 Nw 42nd Ter, Gainesville, FL 32606-8131 | 2016-08-10 |
| 1902103583 | Lee Memorial | General Acute Care Hospital | 13681 Doctors Way Ste 16043, Fort Myers, FL 33912-4300 | 2011-02-17 |
| 1477871069 | Jackson Memorial Hospital | General Acute Care Hospital | 4304 E Whitewater Ave, Weston, FL 33332-2409 | 2010-05-07 |
| 1194953828 | Mount Sinai Medical Center | General Acute Care Hospital | 14700 Ne 9th Ave, Miami, FL 33161-2316 | 2009-07-01 |
| 1518157551 | Malcom Randall Va Medical Center | General Acute Care Hospital | 1601 S.w Archer Road, Gainesville, FL 32608-1135 | 2007-07-26 |
| 1720288921 | Joanne Lynn Brousseau | General Acute Care Hospital | 221 6th Ave S Apt E, Jacksonville, FL 32250-6664 | 2007-07-25 |
| 1306046131 | Jackson Hospital | General Acute Care Hospital | 10730 Sw 30th Pl, Davie, FL 33328-1536 | 2007-07-19 |
| 1649480146 | St Mary Surgical Inc | General Acute Care Hospital | 5343 59th Circle West, Kenneth City, FL 33709 | 2007-05-23 |
| 1477618387 | Department of Va, Miami Va Health Care | General Acute Care Hospital | 12530 Ne 1st, Miami, FL 33161 | 2006-12-22 |
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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.