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FAMILY HEALTH CENTER OF COLUMBIA COUNTY INC. NPI 1962464248


NPI Information

NPI: 1962464248
Provider Name: FAMILY HEALTH CENTER OF COLUMBIA COUNTY, INC.

Doing Business As: SELECTED

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
173 NW ALBRITTON LN
LAKE CITY, FL
ZIP 32055
Phone: (386) 758-5552
Get Directions

FAMILY HEALTH CENTER OF COLUMBIA COUNTY, INC. is a clinic center in Lake City, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FAMILY HEALTH CENTER OF COLUMBIA COUNTY, INC. NPI is 1962464248. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Selected.

The provider's business location address is:

173 NW ALBRITTON LN
LAKE CITY, FL
ZIP 32055-249
Phone: (386) 758-5552
Fax: (386) 752-9143

The provider's authorized official is John T Myles .
The authorized official title is Ceo and has the following contact phone number (386) 758-5552.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 10/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA0003548FLORIDANo
2207Q00000XFamily MedicineME92183FLORIDANo
3363A00000XPhysician AssistantPA9101298FLORIDANo
4363L00000XNurse Practitioner1181972FLORIDANo
5363L00000XNurse PractitionerARNP2908802FLORIDANo
6261Q00000XClinic/Center5080000065FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ME92183OTHERFLORIDASTATE LICENSE
2PA0003548OTHERFLORIDAFLORIDA LICENSE
3101867MEDICARE OSCAR/CERTIFICATIONFLORIDA
45080000065OTHERFLORIDAORIGINAL LICENSE
5I45582MEDICARE UPINFLORIDA
6273713200MEDICAIDFLORIDA
7Q55056MEDICARE UPINFLORIDA
8290374100MEDICAIDFLORIDA
9023552300MEDICAIDFLORIDA
101181972OTHERFLORIDAFLORIDA LICENSE
11292277100MEDICAIDFLORIDA
12PA9101298OTHERFLORIDAFLORIDA LICENSE
13033364600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.