JACKSON COUNTY HOSPITAL DISTRICT NPI 1083035232

NPI Information

NPI: 1083035232
Provider Name: JACKSON COUNTY HOSPITAL DISTRICT
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL
Address: 4318 5TH AVE
MARIANNA, FL
ZIP 32446
Phone: (850) 526-5300

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NPI Details

JACKSON COUNTY HOSPITAL DISTRICT is a rural health clinic center in Marianna, FL. JACKSON COUNTY HOSPITAL DISTRICT NPI is 1083035232. The provider is registered as an organization entity type.
The provider Is Doing Business As Internal Medicine Associates Of Jackson Hospital.

The provider's business location address is:

4318 5TH AVE
MARIANNA, FL
ZIP 32446-182
Phone: (850) 526-5300
Fax: (850) 428-5021

The provider's authorized official is Kelly Connolly .
The authorized official title is Cfo and has the following contact phone number (850) 718-2623.

The enumeration date for this NPI number is 12/13/2013 and was last updated on 8/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W42	OTHER	FLORIDA	BCBS
2	660233900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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