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NORTHWEST FLORIDA HEALTHCARE INC NPI 1659438760


NPI Information

NPI: 1659438760
Provider Name: NORTHWEST FLORIDA HEALTHCARE, INC
Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
1360 BRICKYARD RD
CHIPLEY, FL
ZIP 32428
Phone: (850) 638-1610
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NORTHWEST FLORIDA HEALTHCARE, INC is a medicare defined swing bed unit in Chipley, FL. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. NORTHWEST FLORIDA HEALTHCARE, INC NPI is 1659438760. The provider is registered as an organization entity type.

The provider's business location address is:

1360 BRICKYARD RD
CHIPLEY, FL
ZIP 32428-303
Phone: (850) 638-1610
Fax: (850) 638-5764

The provider's authorized official is Gregg J Moreau .
The authorized official title is Cfo & Coo and has the following contact phone number (850) 415-8197.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1275N00000XMedicare Defined Swing Bed Unit4005FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1594OTHERFLORIDABLUE CROSS SWING
2NONEMEDICAIDFLORIDA

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: 4/28/2024

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.