NORTHWEST FLORIDA HEALTHCARE, INC. (NPI# 1740644202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740644202 |
| Entity Type | Organization |
| Organization Name | NORTHWEST FLORIDA HEALTHCARE, INC. |
| Other Organization Name | CHIPLEY MEDICAL GROUP |
| Practice Address |
1376 Brickyard Rd Suite 4 Chipley FL 32428-6391 |
| Practice Telephone | 8506380552 |
| Practice Fax Number | 8506380504 |
| Mailing Telephone | 8506380552 |
| Mailing Fax Number | 8506380504 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | MR. MICHAEL A KOZAR (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8504158103 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST FLORIDA HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CHIPLEY MEDICAL GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134422470 | Northwest Florida Healthcare, Inc. | Family Medicine | 3250 Main St, Vernon, FL 32462 | 2010-12-08 |
| 1952305237 | Northwest Florida Healthcare, Inc. | Home Health | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2005-06-02 |
| 1528691102 | Northwest Florida Healthcare, Inc. | Clinic/Center | 101 E Wisconsin Ave, Bonifay, FL 32425-1809 | 2020-02-21 |
| 1598272650 | Northwest Florida Healthcare, Inc. | Clinic/Center | 1410 Brickyard Rd, Chipley, FL 32428-5966 | 2018-01-10 |
| 1588171789 | Northwest Florida Healthcare, Inc. | Clinic/Center | 5429 College Dr, Graceville, FL 32440-1858 | 2018-01-09 |
| 1912287939 | Northwest Florida Healthcare, Inc. | General Practice | 3250 Main St, Vernon, FL 32462-2223 | 2011-08-22 |
| Street Address |
1376 BRICKYARD RD SUITE 4 |
| City | CHIPLEY |
| State | FL |
| Zip Code | 32428-6391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861445066 | Deborah B Day | Nurse Practitioner | 1376 Brickyard Rd, Ste 4, Chipley, FL 32428-6391 | 2006-05-18 |
| 1598898835 | Wendy M Corbin | Nurse Practitioner | 1376 Brickyard Rd, Suite 4, Chipley, FL 32428-6391 | 2007-03-14 |
| 1184647810 | Annette Griffin Porter | Family Medicine | 1376 Brickyard Rd, Suite 4, Chipley, FL 32428-6391 | 2006-07-25 |
| 1043230535 | William Mark Garney | Nurse Practitioner | 1376 Brickyard Rd, Suite 5, Chipley, FL 32428-6303 | 2006-07-20 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154533677 | Southern Family Healthcare, P.a. | Clinic/Center | 877 3rd St Ste 4, Chipley, FL 32428-1855 | 2007-05-04 |
| 1598272650 | Northwest Florida Healthcare, Inc. | Clinic/Center | 1410 Brickyard Rd, Chipley, FL 32428-5966 | 2018-01-10 |
| 1306066402 | James B Craven Md Pa Rhc | Clinic/Center | 1351 South Blvd, Chipley, FL 32428-2220 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| 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.