Organization
NORTH FLORIDA MEDICAL CENTERS INC
Active
Parent organization
NORTH FLORIDA MEDICAL CENTERS, INC.
Other names
Wewahitchka Medical 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
255 W RIVER RD, WEWAHITCHKA, FL 32465-4533
(850) 639-5828
(850) 639-5536
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
00000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029568000
—
FL
05
—
029568020
—
FL
Enumeration date
06/10/2005
Last updated
12/10/2020
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