WEST FLORIDA COMMUNITY CARE CENTER (NPI# 1508962788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508962788 |
| Entity Type | Organization |
| Organization Name | WEST FLORIDA COMMUNITY CARE CENTER |
| Practice Address |
5500 Stewart St Milton FL 32570-4304 |
| Practice Telephone | 8509835500 |
| Practice Fax Number | 8509835530 |
| Mailing Telephone | 8509835500 |
| Mailing Fax Number | 8509835530 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | EVA PEADEN (CONTRACT/CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8504693919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 4018 | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 026005300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871682781 | West Florida Community Care Center | Pharmacy | 5500 Stewart St, Milton, FL 32570-4304 | 2006-10-11 |
| Street Address |
5500 STEWART ST |
| City | MILTON |
| State | FL |
| Zip Code | 32570-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669984845 | John D Cheatwood | Nurse Practitioner | 5500 Stewart St, Milton, FL 32570-4304 | 2017-10-28 |
| 1053787101 | Talitha Briese | Nurse Practitioner | 5500 Stewart St, Milton, FL 32570-4304 | 2015-08-12 |
| 1851774830 | Sean Michael Ryan | Physician Assistant | 5500 Stewart St, Milton, FL 32570 | 2015-07-08 |
| 1871682781 | West Florida Community Care Center | Pharmacy | 5500 Stewart St, Milton, FL 32570-4304 | 2006-10-11 |
| 1699874545 | Mary-jane Valbracht | Nurse Practitioner | 5500 Stewart St, Milton, FL 32570-4304 | 2006-09-21 |
| 1134228083 | Belen L Lasquety | Psychiatry & Neurology | 5500 Stewart St, Milton, FL 32570-4304 | 2006-09-21 |
| 1831298629 | Carmen Paroby | Social Worker | 5500 Stewart St, Milton, FL 32570-4304 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| 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. |
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| 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 | ||||
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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.