Organization
NORTH FLORIDA MEDICAL CENTERS INC
Active
Parent organization
NORTH FLORIDA MEDICAL CENTERS, INC.
Other names
Crestview Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH FLORIDA MEDICAL CENTERS, INC.
Authorized official
LANE MILLER LUNN (PRESIDENT/CEO)
(850) 385-4494
Entity
Organization
Contact information
Practice address
800 HOSPITAL DR, CRESTVIEW, FL 32539-7385
(850) 682-1164
(850) 682-5302
Mailing address
2804 REMINGTON GREEN CIR STE 2, TALLAHASSEE, FL 32308-1550
(850) 385-4494
(850) 298-6054
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99388
MEDICARE PART B, GROUP PTAN
FL
01
—
CE1606
RAILROAD MEDICARE
FL
Enumeration date
12/14/2007
Last updated
12/10/2020
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