NPIMap

Organization Active NPI

Holmes County Hospital Corporation

Doing business as Doctors Medical Clinic

  • Rural Health Clinic/Center
  • Graceville, FL
National Provider Identifier
1194173419
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HOLMES COUNTY HOSPITAL CORPORATION
Doing business as
Doctors Medical Clinic
Practice address
5556 Brown St
Graceville, FL 32440-1007
Phone
(850) 360-4150
Fax
(850) 547-8006
NPI assigned
May 26, 2016
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLMES COUNTY HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joann Baker
Title
Administrator/Ceo
Phone
(850) 547-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

5556 Brown St
Graceville, FL 32440-1007

Mailing address

PO Box 188
Bonifay, FL 32425-0188
Phone (850) 547-8003

Other names 1

  • Doctors Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doctors Memorial Hosp3 organizations share this tax ID, including this one
Part of
Doctors Memorial Hosp

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1194173419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324250188",
            "telephone_number": "850-547-8003",
            "fax_number": "850-547-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5556 BROWN ST",
            "city": "GRACEVILLE",
            "state": "FL",
            "postal_code": "324401007",
            "telephone_number": "850-360-4150",
            "fax_number": "850-547-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES COUNTY HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLMES COUNTY HOSPITAL CORPORATION",
        "enumeration_date": "2016-05-26",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "850-547-8001"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Graceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.