Organization
NORTHWEST FLORIDA HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LISENBY (CFO)
(850) 415-8107
Entity
Organization
Contact information
Practice address
1360 BRICKYARD RD, CHIPLEY, FL 32428-6303
(850) 638-1610
(850) 638-5764
Mailing address
1360 BRICKYARD RD, CHIPLEY, FL 32428-6303
(850) 638-1610
(850) 638-5764
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
282N00000X
General Acute Care Hospital
—
—
282NC0060X
Critical Access Hospital
Primary
4005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010190700
—
FL
Enumeration date
07/27/2006
Last updated
04/22/2025
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