Calhoun-liberty Primary Care Clinic | |
20370 Ne Burns Ave Blountstown FL 32424-1045 | |
(850) 674-5411 | |
(850) 674-3550 |
Full Name | Calhoun-liberty Primary Care Clinic |
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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 |
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Calhoun-liberty Primary Care Clinic 20370 Ne Burns Ave Blountstown FL 32424-1045 Ph: (850) 674-5411 | Calhoun-liberty Primary Care Clinic 20370 Ne Burns Ave Blountstown FL 32424-1045 Ph: (850) 674-5411 |
NPI Number | 1588944334 |
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Provider Enumeration Date | 08/25/2011 |
Last Update Date | 10/18/2024 |
Medicare PECOS PAC ID | 8820007016 |
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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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760485189 PECOS PAC ID: 2567473531 Enrollment ID: I20060505000693 |
Provider Name | Kevin M Hornsby |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619908910 PECOS PAC ID: 9537123062 Enrollment ID: I20070129000409 |
Provider Name | Teressa Edenfield |
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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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902189376 PECOS PAC ID: 0143492439 Enrollment ID: I20111010000511 |
Provider Name | Cara L Pappas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235235615 PECOS PAC ID: 2466427349 Enrollment ID: I20111020000448 |
Provider Name | Blair S Mckee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144434747 PECOS PAC ID: 1355428483 Enrollment ID: I20111024000688 |
Provider Name | Laura G Ford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407286784 PECOS PAC ID: 8325320153 Enrollment ID: I20170428001385 |
Provider Name | Katelyn D Hicks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104347004 PECOS PAC ID: 2466724711 Enrollment ID: I20170821002799 |
Provider Name | Jared Shelby Barber |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104486588 PECOS PAC ID: 8022344522 Enrollment ID: I20211029000573 |
Provider Name | Hannah Sumner Causseaux |
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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 |
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 | |
The Medical Center Of Blountstown 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 |