Provider Demographics
NPI:1588326607
Name:APALACHEE CENTER, INC.
Entity type:Organization
Organization Name:APALACHEE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT FINANCIAL SRVCS
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:LANDRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-523-3243
Mailing Address - Street 1:2634 CAPITAL CIR NE BLDG J
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4106
Mailing Address - Country:US
Mailing Address - Phone:850-523-3261
Mailing Address - Fax:850-523-3411
Practice Address - Street 1:225 SW SUMATRA AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:FL
Practice Address - Zip Code:32340-1454
Practice Address - Country:US
Practice Address - Phone:850-973-5124
Practice Address - Fax:850-973-5128
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:APALACHEE CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-06
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL112921700Medicaid
FL060298116Medicaid
FL1730289968OtherNPI