LIBERTY COUNTY HEALTH DEPARTMENT – Public Health or Welfare Agency, NPI 1548263114
Public Health or Welfare Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LIBERTY COUNTY HEALTH DEPARTMENT
10971 NW SPRING ST
BRISTOL, FL 323216917
Phone: (850) 643-2415
Fax: (850) 643-5689
Type: Mailing
Spring Street, Windmill Hill, Bristol, City of Bristol, South West England, England, BS3 4AN, United Kingdom
BRISTOL, FL 323210489
Phone: (850) 643-2292
Fax: (850) 643-2306
Type: Location
Central Avenue, Bristol, Hartford County, Connecticut, 06010, United States
BRISTOL, FL 323210489
Phone: (850) 643-2292
Fax: (850) 643-2306
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-05-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100518000300 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32321)
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