Wakulla Medical Center

LBN: North Florida Medical Centers Inc
Wakulla Medical Center is an health care organization with primary practice located at 1328 Coastal Hwy , Panacea FL 32346-2151. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. North Florida Medical Centers Inc can be contacted via phone (850) 984-4735, or through Lunn, Lane Miller via phone (850) 385-4494.

Contact Information

Primary practice address
1328 Coastal Hwy Panacea FL 32346-2151
Fax: (850) 984-4742
Website:
Authorized official contact:
Name: Lunn, Lane Miller

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 00000 Florida

Profile Details

NPI number 1447254958
LBN Legal business name North Florida Medical Centers Inc
DBA Doing business as Wakulla Medical Center
Authorized official Lunn, Lane Miller
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 13th, 2005
Last updated Dec 10th, 2020 - 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 1447254958 NPPES
Florida MEDICAID 029568001
Florida MEDICAID 029568021
Florida Other 99388

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