# NORTHWEST FLORIDA HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHWEST FLORIDA HEALTHCARE, INC.
- **Other names:** CHIPLEY MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740644202
- **Legal business name:** NORTHWEST FLORIDA HEALTHCARE, INC.
- **Authorized official:** MR. MICHAEL A KOZAR (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (850) 415-8103

## Contact information

- **Practice address:** 1376 BRICKYARD RD, SUITE 4, CHIPLEY, FL 32428-6391
- **Practice address phone:** (850) 638-0552
- **Practice address fax:** (850) 638-0504
- **Mailing address:** 1376 BRICKYARD RD, SUITE 4, CHIPLEY, FL 32428-6391
- **Mailing address phone:** (850) 638-0552
- **Mailing address fax:** (850) 638-0504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2016
- **Last updated:** 08/11/2025