LIVE OAK HMA LLC (NPI# 1922409010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922409010 |
| Entity Type | Organization |
| Organization Name | LIVE OAK HMA LLC |
| Other Organization Name | HAMILTON PRIMARY CARE |
| Practice Address |
413 5th Ave Nw Ste A Jasper FL 32052-7801 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 3862928132 |
| Practice Fax Number | 3867927745 |
| Mailing Telephone | 6157788196 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
4314 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016770200 | 05 |
| Other Name | Type Code |
|---|---|
| Hamilton Primary Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1150 Us Highway 41 Nw, Suite 11 & 12, Jasper, FL 320525888 | 2867927744 | 3867927745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619370947 | Live Oak Hma LLC | Nurse Practitioner | 413 5th Ave Nw Ste A, Jasper, FL 32052-7801 | 2014-10-01 |
| Street Address |
413 5TH AVE NW STE A |
| City | JASPER |
| State | FL |
| Zip Code | 32052-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659637312 | James Edwin Watson Jr. | Nurse Practitioner | 413 5th Ave Nw Ste A, Jasper, FL 32052-7801 | 2012-04-07 |
| 1548872609 | Watson Healthcare LLC | Clinic/Center | 413 5th Ave Nw Ste A, Jasper, FL 32052-7801 | 2020-08-20 |
| 1619370947 | Live Oak Hma LLC | Nurse Practitioner | 413 5th Ave Nw Ste A, Jasper, FL 32052-7801 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700362282 | North Florida Pediatrics, Pa | Pediatrics | 5686 Us Highway 129 South, School Clinic, Jasper, FL 32052 | 2018-07-17 |
| 1467902718 | Anthony James Holden | Non-emergency Medical Transport (VAN) | 1124 Maplewood Rd, Jasper, FL 32052 | 2016-10-11 |
| 1114347143 | Danielle Bryant | Custodial Care Facility | 3181 Nw 111th Pl, Jasper, FL 32052 | 2014-04-17 |
| 1962717538 | Fawaz Abdulraheem | Surgery | Mubarak Al-kabeer Hospital, Street 103, Jabriya, Kuwait City, KWI 32052 | 2010-08-08 |
| 1033447206 | Latia Lumpkin | Home Health | 1001 3rd St Nw, Jasper, FL 32052 | 2009-11-30 |
| 1558540104 | Hamilton Count Council On Aging | Case Management | 1509 S.w. 1st St., Jasper, FL 32052 | 2007-10-31 |
| 1861513665 | Hometown Care | Durable Medical Equipment & Medical Supplies | 107 Hatley Street, Jasper, FL 32052 | 2007-04-02 |
| 1215091699 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S.w. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1689738296 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S. W. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1205925146 | W. Benjamin Norris Jr. | Dentist | 107 First Ave Se, Jasper, FL 32052 | 2006-10-11 |
| Find all providers in zip 32052 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235181322 | Trilogy Integrated Health Care, Inc. of Georgia | Clinic/Center | 14 Sammy Mcghee Boulevard, Suite 204, Jasper, GA 30143 | 2006-05-17 |
| 1528030285 | Christus Health Southeast Texas | Clinic/Center | 1276 S Peachtree St, Jasper, TX 75951-4916 | 2006-02-06 |
| 1588654982 | North Arkansas Regional Medical Center | Clinic/Center | 502 W Court St, Jasper, AR 72641 | 2005-10-26 |
| 1124482013 | Christus Health Southeast Texas | Clinic/Center | 494 Springhill St, Suite 200, Jasper, TX 75951-4922 | 2016-04-07 |
| 1942593447 | Jfhw Rural Clinic Pa | Clinic/Center | 492 Springhill St, Suite B, Jasper, TX 75951-4922 | 2011-05-17 |
| 1386876902 | Enrique Technologies Inc | Clinic/Center | 506 4th St Nw, Jasper, FL 32052-6603 | 2009-08-14 |
| 1205912326 | Hc Healthcare Inc | Clinic/Center | 506 Nw 4th Street, Jasper, FL 32052-6603 | 2006-10-31 |
| 1912091778 | Complete Healthcare Services Rhc Pllc | Clinic/Center | 315 W Houston St, Jasper, TX 75951 | 2006-10-03 |
| 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.