NORTHWEST FLORIDA HEALTHCARE, INC. (NPI# 1912287939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912287939 |
Entity Type | Organization |
Organization Name | NORTHWEST FLORIDA HEALTHCARE, INC. |
Other Organization Name | VERNON CLINIC-NFCH |
Practice Address |
3250 Main St Vernon FL 32462-2223 |
Practice Telephone | 8505352096 |
Mailing Telephone | 8505352096 |
Enumeration Date | 2011-08-22 |
Last Update Date | 2012-01-13 |
Authorized Official Name | KATHY MITCHELL (BUSINESS OFFICE SUPERVISOR) |
Authorized Official Telephone | 8504158184 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 4005 | FL | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Vernon Clinic-NFCH | 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 |
1740644202 | Northwest Florida Healthcare, Inc. | Clinic/Center | 1376 Brickyard Rd, Suite 4, Chipley, FL 32428-6391 | 2016-04-11 |
Street Address |
3250 MAIN ST |
City | VERNON |
State | FL |
Zip Code | 32462-2223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134422470 | Northwest Florida Healthcare, Inc. | Family Medicine | 3250 Main St, Vernon, FL 32462 | 2010-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528098779 | Life Management Center of Northwest Florida, Inc. | Counselor | 3371 Sasser Road, Vernon, FL 32462 | 2006-07-04 |
1437187440 | Helena Cosby-garcia | Counselor | 3134 Moss Hill Rd, Vernon, FL 32462 | 2006-06-29 |
1275706087 | Jessica Lynn Mahaffey | Massage Therapist | 2829 Yellow Jacket Dr, Vernon, FL 32462-2011 | 2008-04-12 |
1326095944 | Dawn Rene', Inc. | Nurse Practitioner | 3027 Main St, Post Office Box 829, Vernon, FL 32462-2220 | 2006-05-28 |
1215981667 | Dawn Rene Frost | Nurse Practitioner | 3027 Main Street, Vernon, FL 32462-2220 | 2006-05-20 |
1851819809 | Michelle Joy Daniels | Nurse Practitioner | 3027 Main St, Vernon, FL 32462-2220 | 2017-08-30 |
1851545115 | Dawn Rene LLC | Nurse Practitioner | 3027 Main St, Vernon, FL 32462-2220 | 2008-11-12 |
1063497972 | Vernon Discount Drug Inc | Pharmacy | 3248 Main St, Vernon, FL 32462-2223 | 2005-12-13 |
1083951396 | Health First Research Group Inc | Specialist | 4465 Wickers Pond Rd, Vernon, FL 32462-3062 | 2013-01-07 |
1992057046 | Kenneth L Jones | Physician Assistant | 3591 Twin Pond Rd, Vernon, FL 32462-3362 | 2012-10-12 |
Find all providers in zip 32462 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881885101 | Abel R Quesada | General Practice | 4221 S Alameda St, Vernon, CA 90058-1601 | 2007-08-05 |
1710085220 | Richard Eiichi Ojima | General Practice | 4580 Pacific Blvd, Vernon, CA 90058-2208 | 2006-09-20 |
1861830648 | Stacy Medical Center | General Practice | 4580 Pacific Blvd, Vernon, CA 90058-2208 | 2013-06-13 |
1699092783 | Abel Quesada, Apc | General Practice | 4221 S Alameda St, Vernon, CA 90058-1601 | 2010-04-28 |
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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.