Medical License Application for North Walton Doctors Hospital

John Passmore filed this request with the Agency for Healthcare Administration of Florida.
Tracking #

362640

Status
Completed

Communications

From: John Passmore

To Whom It May Concern:

Pursuant to the Florida Sunshine Law, I hereby request the following records:

Application and associated documents for the license application for the Hospital that is being located outside DeFuniak Springs, FL called North Walton Doctors Hospital.

The requested documents will be made available to the general public, and this request is not being made for commercial purposes.

In the event that there are fees, I would be grateful if you would inform me of the total charges in advance of fulfilling my request. I would prefer the request filled electronically, by e-mail attachment if available or CD-ROM if not.

Thank you in advance for your anticipated cooperation in this matter. I look forward to receiving your response to this request within 10 business days.

Sincerely,

John Passmore

From: Agency for Healthcare Administration

Per the unit handling your request: "Additional info needed - Hello, please ask the requestor to provide the facility address. Thank you."

Ref: 362640
________________________________
[cid:image001.png@01DA4EB9.C7C5DB80]
Jeff Horton - OPS SENIOR CLERK
________________________________
Building 3, Room 3408C - GENERAL COUNSEL AHCA
2727 MAHAN DR., TALLAHASSEE, FL. 323080000
+1 850-412-3681 (Office) - (Fax)
Jeff.Horton@ahca.myflorida.com
[cid:image003.jpg@01DA4EB9.C7C5DB80]<https://apps.ahca.myflorida.com/mpi-complaintform/>

Privacy Statement: This e-mail may include confidential and/or proprietary information, and may be used only by the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this in error, please reply to the sender and delete it immediately.

From: John Passmore

The address of the facility is
Address
4413 US Highway 331, S. DeFuniak Springs, FL 32435

From: Agency for Healthcare Administration

Morning John,

The request is open/assigned to a unit. I do see that it is in its final stages of completion. I have attached your recent email as a status check and inquiry on your request. In addition, the unit liaison has been notified of your inquiry. As soon as the unit liaison submits the folder/request completed, I will send you any responsive document/s. Thank you.

Ref: 362640
________________________________
[cid:image004.png@01DA5B32.269348D0]
Jeff Horton - OPS SENIOR CLERK
________________________________
Building 3, Room 3408C - GENERAL COUNSEL AHCA
2727 MAHAN DR., TALLAHASSEE, FL. 323080000
+1 850-412-3681 (Office) - (Fax)
Jeff.Horton@ahca.myflorida.com
[cid:image005.jpg@01DA5B32.269348D0]<https://apps.ahca.myflorida.com/mpi-complaintform/>

Privacy Statement: This e-mail may include confidential and/or proprietary information, and may be used only by the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this in error, please reply to the sender and delete it immediately.

From: Agency for Healthcare Administration

Attached are the responsive document/s for the also attached request.

Ref: 362640
________________________________
[cid:image001.png@01DA5E5C.BBF2E1B0]
Jeff Horton - OPS SENIOR CLERK
________________________________
Building 3, Room 3408C - GENERAL COUNSEL AHCA
2727 MAHAN DR., TALLAHASSEE, FL. 323080000
+1 850-412-3681 (Office) - (Fax)
Jeff.Horton@ahca.myflorida.com
[cid:image003.jpg@01DA5E5C.BBF2E1B0]<https://apps.ahca.myflorida.com/mpi-complaintform/>

Privacy Statement: This e-mail may include confidential and/or proprietary information, and may be used only by the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this in error, please reply to the sender and delete it immediately.

From: John Passmore

The information provided is not the actual application for license and associated documents but appears to just be an application for plan review but did not include the plans that were to be reviewed. I am looking for the information submitted when an application to be a hospital is made.

From: Agency for Healthcare Administration

Morning John,

An email response to your request was send 2/13/24, 0912. Thank you.

Ref: 362640
________________________________
[cid:image004.png@01DA5F24.61710870]
Jeff Horton - OPS SENIOR CLERK
________________________________
Building 3, Room 3408C - GENERAL COUNSEL AHCA
2727 MAHAN DR., TALLAHASSEE, FL. 323080000
+1 850-412-3681 (Office) - (Fax)
Jeff.Horton@ahca.myflorida.com
[cid:image005.jpg@01DA5F24.61710870]<https://apps.ahca.myflorida.com/mpi-complaintform/>

Privacy Statement: This e-mail may include confidential and/or proprietary information, and may be used only by the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this in error, please reply to the sender and delete it immediately.

From: Agency for Healthcare Administration

Good Morning,

Please note a response for this request was sent on 2/13/24, 9:12 a.m. See attachment. Thank you.

Ref: 362640
________________________________
[cid:image001.png@01DA6AEF.D6F80F40]
Jeff Horton - OPS SENIOR CLERK
________________________________
Building 3, Room 3408C - GENERAL COUNSEL AHCA
2727 MAHAN DR., TALLAHASSEE, FL. 323080000
+1 850-412-3681 (Office) - (Fax)
Jeff.Horton@ahca.myflorida.com
[cid:image003.jpg@01DA6AEF.D6F80F40]<https://apps.ahca.myflorida.com/mpi-complaintform/>

Privacy Statement: This e-mail may include confidential and/or proprietary information, and may be used only by the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this in error, please reply to the sender and delete it immediately.

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