| Calhoun-liberty Hospital Association Inc | |
|
20370 Ne Burns Ave Blountstown FL 32424-1045 | |
| (850) 674-5411 | |
| (850) 674-3550 |
| Full Name | Calhoun-liberty Hospital Association Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20370 Ne Burns Ave, Blountstown, Florida |
| Authorized Official Name and Position | Emily Marlo Brown (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8506745411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calhoun-liberty Hospital Association Inc 20370 Ne Burns Ave Blountstown FL 32424-1045 Ph: (850) 674-5411 | Calhoun-liberty Hospital Association Inc 20370 Ne Burns Ave Blountstown FL 32424-1045 Ph: (850) 674-5411 |
| NPI Number | 1588944334 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 8820007016 |
|---|---|
| Medicare Enrollment ID | O20111025000774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588944334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | HCC680 (Florida) | Primary |
| Provider Name | Stanley F Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760485189 PECOS PAC ID: 2567473531 Enrollment ID: I20060505000693 |
| Provider Name | Kevin M Hornsby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619908910 PECOS PAC ID: 9537123062 Enrollment ID: I20070129000409 |
| Provider Name | Teressa Edenfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487628392 PECOS PAC ID: 9234255126 Enrollment ID: I20100928001710 |
| Provider Name | Yawen Ping |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467734681 PECOS PAC ID: 2466623236 Enrollment ID: I20110928000024 |
| Provider Name | Bethsaida Jean Gillum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902189376 PECOS PAC ID: 0143492439 Enrollment ID: I20111010000511 |
| Provider Name | Cara L Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235235615 PECOS PAC ID: 2466427349 Enrollment ID: I20111020000448 |
| Provider Name | Blair S Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144434747 PECOS PAC ID: 1355428483 Enrollment ID: I20111024000688 |
| Provider Name | Laura G Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407286784 PECOS PAC ID: 8325320153 Enrollment ID: I20170428001385 |
| Provider Name | Katelyn D Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104347004 PECOS PAC ID: 2466724711 Enrollment ID: I20170821002799 |
| Provider Name | Jared Shelby Barber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104486588 PECOS PAC ID: 8022344522 Enrollment ID: I20211029000573 |
| Provider Name | Hannah Sumner Causseaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033834288 PECOS PAC ID: 2163892993 Enrollment ID: I20230111003260 |
| Provider Name | Hayley Sumner Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396422473 PECOS PAC ID: 9739533258 Enrollment ID: I20231002001977 |
Pancare Of Florida, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16875 Ne Cayson St, Blountstown, FL 32424 Phone: 850-674-2244 Fax: 850-674-2249 | |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17808 Ne Charlie Johns St, Blountstown, FL 32424 Phone: 850-674-4524 Fax: 850-674-2300 | |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17808 Ne Charlie Johns St, Blountstown, FL 32424 Phone: 850-674-4524 | |
Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20454 Ne Finley Ave, Blountstown, FL 32424 Phone: 850-674-2221 Fax: 850-674-2121 | |
Panhandle Rural Health & Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20274 Central Ave W, Blountstown, FL 32424 Phone: 850-353-7689 Fax: 850-674-8889 | |
Sonder Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16700 Se Pear St, Blountstown, FL 32424 Phone: 850-718-8170 |