NPIMap

Organization Active NPI

Madison Memorial Healthcare Clinic

Doing business as Madison Co Hospital Health Sys., Inc

  • Rural Health Clinic/Center
  • Madison, FL
National Provider Identifier
1609874338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MADISON MEMORIAL HEALTHCARE CLINIC
Doing business as
Madison Co Hospital Health Sys., Inc
Practice address
201 E Marion St
Madison, FL 32340-2525
Phone
(850) 973-3456
Fax
(850) 973-3338
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Deena Hames
Title
Cfo
Phone
(850) 973-1366

Specialties & licenses 1

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

Addresses

Primary practice location

201 E Marion St
Madison, FL 32340-2525

Mailing address

201 E Marion St
Madison, FL 32340-2525
Phone (850) 973-3456

Other names 1

  • Madison Co Hospital Health Sys., Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madison County Hospital Health Systems Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609874338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MARION ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402525",
            "telephone_number": "850-973-3456",
            "fax_number": "850-973-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MARION ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402525",
            "telephone_number": "850-973-3456",
            "fax_number": "850-973-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEMORIAL HEALTHCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMES",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-973-1366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Co Hospital Health Sys., Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.