Southern Family Healthcare, P.A.

LBN: Southern Family Healthcare, P.A.
Southern Family Healthcare, P.A. is an health care organization with primary practice located at 877 3Rd St Ste 4 , Chipley FL 32428-1855. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Southern Family Healthcare, P.A. can be contacted via phone (850) 638-4383, or through Garney, William Mark via phone (850) 638-5512.

Contact Information

Primary practice address
877 3Rd St Ste 4 Chipley FL 32428-1855
Phone: (850) 638-4383
Fax: (850) 415-6783
Website:
Map and Directions
Authorized official contact:
Name: Garney, William Mark ARNPC
Phone: (850) 638-5512

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X Florida

Profile Details

NPI number 1154533677
LBN Legal business name Southern Family Healthcare, P.A.
DBA Doing business as
Authorized official Garney, William Mark ARNPC
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Oct 18th, 2017 - about 8 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 1154533677 NPPES
Florida MEDICAID 660167700

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