| Northwest Florida Healthcare, Inc. | |
|
1376 Brickyard Rd Suite 4 Chipley FL 32428-6391 | |
| (850) 638-0552 | |
| (850) 638-0504 |
| Full Name | Northwest Florida Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1376 Brickyard Rd, Chipley, Florida |
| Authorized Official Name and Position | Michael A Kozar (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8504158103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Florida Healthcare, Inc. 1376 Brickyard Rd Suite 4 Chipley FL 32428-6391 Ph: (850) 638-0552 | Northwest Florida Healthcare, Inc. 1376 Brickyard Rd Suite 4 Chipley FL 32428-6391 Ph: (850) 638-0552 |
| NPI Number | 1740644202 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 08/11/2025 |
| Certification Date | 08/11/2025 |
| Medicare PECOS PAC ID | 2668363771 |
|---|---|
| Medicare Enrollment ID | O20170803001254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740644202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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