North Okaloosa Physicians Group
LBN: North Okaloosa Clinic Corp
North Okaloosa Physicians Group is an health care organization with primary practice located at 131 E Redstone Ave Ste 105 , Crestview FL 32539-5355. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
North Okaloosa Clinic Corp can be contacted via phone (850) 398-8725, or through Jackson, Jennifer L via phone (615) 465-3334.
Contact Information
Primary practice address
131 E Redstone Ave Ste 105
Crestview FL 32539-5355
Phone: (850) 398-8725
Fax: (850) 398-8727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1558930313 |
|---|---|
| LBN Legal business name | North Okaloosa Clinic Corp |
| DBA Doing business as | North Okaloosa Physicians Group |
| Authorized official | Jackson, Jennifer L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2021 |
| Last updated | May 14th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558930313 | NPPES |
| Florida | MEDICAID | 273693408 |
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