Family Health Source
LBN: Northeast Florida Health Services Inc
Family Health Source is an health care organization with primary practice located at 1200 Deltona Blvd , Deltona FL 32725-6306. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Community/Retail Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Northeast Florida Health Services Inc can be contacted via phone (386) 202-6025, or through Collier, Rebecca via phone (386) 202-6025.
Contact Information
Primary practice address
1200 Deltona Blvd
Deltona FL 32725-6306
Phone: (386) 202-6025
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1427605534 |
|---|---|
| LBN Legal business name | Northeast Florida Health Services Inc |
| DBA Doing business as | Family Health Source |
| Authorized official | Collier, Rebecca |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 22nd, 2019 |
| Last updated | Aug 10th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427605534 | NPPES |
| Florida | MEDICAID | 687955119 |
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