JACKSON COUNTY HEALTH DEPARTMENT
NPI 1487724969
Public Health or Welfare in Marianna, FL
NPI Status: Active since November 09, 2006
Contact Information
4979 HEALTHY WAY
MARIANNA, FL
ZIP 32446
Phone: (850) 526-2412
Fax: (850) 718-0383
- Organization
- Public Health or Welfare
- Accepts Insurance
- CLIA Number: 10D0677280
- CLIA Cert. Type: Public Health Laboratories
- CLIA Exp. Date: 01-08-2027
About JACKSON COUNTY HEALTH DEPARTMENT
This page provides the complete NPI Profile along with additional information for Jackson County Health Department, a provider established in Marianna, Florida operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1487724969 assigned on November 2006. The practitioner's primary taxonomy code is 251K00000X with license number ME86600 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Jackson County Health Department. The authorized official of this NPI record is Mrs. Susannah Culbreath (Billing Administrator)
- NPI
- 1487724969
- Provider Legal Name
- FLORIDA DEPARTMENT OF HEALTH
- Other Organization Name
- JACKSON COUNTY HEALTH DEPARTMENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4979 HEALTHY WAY MARIANNA, FL 32446
- Location Phone
- (850) 526-2412
- Location Fax
- (850) 718-0383
- Mailing Address
- 4979 HEALTHY WAY PO BOX 310 MARIANNA, FL 32446
- Mailing Phone
- (850) 526-2412
- Mailing Fax
- (850) 718-0383
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-09-2006
- Last Update Date
- 10-14-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Public Health or Welfare
- Taxonomy Code
- 251K00000X
- Type
- Agencies
- License No.
- ME86600
- License State
- FL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2083P0901X | Allopathic & Osteopathic Physicians | Preventive Medicine | ME86600 (FL) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 027942100 | MEDICAID (05) | FL | |
| 97896 | OTHER (01) | FL | BCBS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0677280
- Facility Type
- Public Health Laboratories
- Certificate Effective Date
- January 09, 2025
- Certificate Expiration Date
- January 08, 2027
- Laboratory Director
- KONGSAK CHANTORNSAENG
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Jackson County Health Department in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1487724969, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487724969, enumerated as an "organization" on November 09, 2006.
The provider is located at 4979 HEALTHY WAY MARIANNA, FL 32446 and the phone number is (850) 526-2412.
Public Health or Welfare with taxonomy code 251K00000X.
The provider might be accepting Accepts: Wellpoint, Medicare, Medicaid and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
