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INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL NPI 1427475185


NPI Information

NPI: 1427475185
Provider Name: INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
4318 5TH AVE
MARIANNA, FL
ZIP 32446
Phone: (850) 526-5300
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INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL is a rural health clinic center in Marianna, FL. INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL NPI is 1427475185. The provider is registered as an organization entity type.

The provider's business location address is:

4318 5TH AVE
MARIANNA, FL
ZIP 32446-182
Phone: (850) 526-5300
Fax: (850) 482-5021

The provider's authorized official is Bonnie Hart .
The authorized official title is Pt Financial Specialist and has the following contact phone number (850) 526-5300.

The enumeration date for this NPI number is 3/19/2014 and was last updated on 5/14/2014.


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
1261QR1300XClinic/CenterRural Health3999FLORIDAYes

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
1W42OTHERFLORIDABCBS
2103866MEDICARE PINTENNESSEE
3660233900MEDICAIDFLORIDA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.