Florida State Hospital

LBN: Florida Department Of Children And Families
Florida State Hospital is an health care organization with primary practice located at 100 N Main St Bldg 1235 , Chattahoochee FL 32324-1107. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Florida Department Of Children And Families can be contacted via phone (850) 663-7675, or through Mcelvin, Tonja via phone (850) 663-7675.

Contact Information

Primary practice address
100 N Main St Bldg 1235 Chattahoochee FL 32324-1107
Phone: (850) 663-7675
Fax: (850) 663-7385
Website:
Map and Directions
Authorized official contact:
Name: Mcelvin, Tonja PHARMD
Phone: (850) 663-7675

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Institutional Pharmacy 3336I0012X PH6234 Florida
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1760418933
LBN Legal business name Florida Department Of Children And Families
DBA Doing business as Florida State Hospital
Authorized official Mcelvin, Tonja PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 30th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760418933 NPPES
Florida MEDICAID 014463700
Florida Other 2005839

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