FLORIDA STATE HOSPITAL
NPI 1578895470
Psychiatric Hospital in Chattahoochee, FL

NPI Status: Active since February 03, 2010

Contact Information

100 N MAIN ST
CHATTAHOOCHEE, FL
ZIP 32324
Phone: (850) 663-7802
Fax: (850) 663-7516

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  • Organization
  • Psychiatric Hospital
  • CLIA Number: 10D2009356
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 06-30-2026

About FLORIDA STATE HOSPITAL

This page provides the complete NPI Profile along with additional information for Florida State Hospital, a provider established in Chattahoochee, Florida operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1578895470 assigned on February 2010. The practitioner's primary taxonomy code is 283Q00000X with license number 3990 (FL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Florida State Hospital. The authorized official of this NPI record is Mr. Stephen B Lewallen (Hospital Administrator)

NPI
1578895470
Provider Legal Name
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Other Organization Name
FLORIDA STATE HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 N MAIN ST CHATTAHOOCHEE, FL 32324
Location Phone
(850) 663-7802
Location Fax
(850) 663-7516
Mailing Address
100 N MAIN ST FINANCIAL SVCS., BLDG 1260, 3RD FLOOR CHATTAHOOCHEE, FL 32324
Mailing Phone
(850) 663-7802
Mailing Fax
(850) 663-7516
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-03-2010
Last Update Date
11-18-2020
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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

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
Hospitals
License No.
3990
License State
FL
Taxonomy Description
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. STEPHEN B LEWALLEN

Authorized Official Title
HOSPITAL ADMINISTRATOR
Authorized Official Phone
(850) 663-7536

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
026001100MEDICAID (05)FL 

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
10D2009356
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
July 01, 2024
Certificate Expiration Date
June 30, 2026
Laboratory Director
KONGASK CHATORNSAENG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Florida State Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FLORIDA STATE HOSPITAL

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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 1578895470, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 8 → 16 → 7 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 1 + 6 + 9 + 1 + 0 + 4 + 1 + 4 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1578895470.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Psychiatry & Neurology (Psychiatry)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Family Medicine (Adult Medicine)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Psychiatry & Neurology (Psychiatry)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Psychiatry & Neurology (Psychiatry)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Psychiatry & Neurology (Psychiatry)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Internal Medicine
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Family Medicine
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Psychiatry & Neurology (Psychiatry)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Family Medicine
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Psychiatry & Neurology (Forensic Psychiatry)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Family Medicine
100 N MAIN ST, FSH-UNIT 31
CHATTAHOOCHEE, FL 32324
Nurse Practitioner (Family)
100 N MAIN ST, FLORIDA STATE HOSPITAL
CHATTAHOOCHEE, FL 32324
Internal Medicine
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Psychiatry & Neurology (Psychiatry)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Internal Medicine
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Psychologist (Forensic)
100 N MAIN ST, LANDIS HALL
CHATTAHOOCHEE, FL 32324
General Practice
100 N MAIN ST
CHATTAHOOCHEE, FL 32324
Psychologist
100 N MAIN ST, BUILDING 1053
CHATTAHOOCHEE, FL 32324
Nurse Practitioner (Psychiatric/Mental Health)
100 N MAIN ST
CHATTAHOOCHEE, FL 32324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578895470, enumerated as an "organization" on February 03, 2010.

The provider is located at 100 N MAIN ST CHATTAHOOCHEE, FL 32324 and the phone number is (850) 663-7802.

Psychiatric Hospital with taxonomy code 283Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.