DOCTORS MEMORIAL HOSPITAL INC NPI 1790728657

NPI Information

NPI: 1790728657
Provider Name: DOCTORS MEMORIAL HOSPITAL INC

Doing Business As: DMH INTERNAL MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
402 E ASH ST
PERRY, FL
ZIP 32347
Phone: (850) 584-0600
Get Directions

DOCTORS MEMORIAL HOSPITAL INC is a rural health clinic center in Perry, FL. DOCTORS MEMORIAL HOSPITAL INC NPI is 1790728657. The provider is registered as an organization entity type.
The provider Is Doing Business As Dmh Internal Medicine.

The provider's business location address is:

402 E ASH ST
PERRY, FL
ZIP 32347-105
Phone: (850) 584-0600
Fax: (580) 584-0602

The provider's authorized official is Sara Grambling .
The authorized official title is Administrator and has the following contact phone number (850) 584-0609.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 6/20/2008.

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	660138300	FLORIDA	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	10D0961933	OTHER		CLIA
2	103442	MEDICARE ID-TYPE UNSPECIFIED
3	660138300	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: 11/14/2023

NPI Synchronization or Removal

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