NPIMap

Organization Active NPI

Doctors Memorial Hospital Inc

Doing business as DMH Pediatrics

  • Rural Health Clinic/Center
  • Perry, FL
National Provider Identifier
1639117237
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DOCTORS MEMORIAL HOSPITAL INC
Doing business as
DMH Pediatrics
Practice address
1211 N Center St
Perry, FL 32347-2037
Phone
(850) 584-2141
NPI assigned
Jun 4, 2006
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Sara Grambling
Title
Administrator
Phone
(850) 584-0609

Specialties & licenses 1

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

Addresses

Primary practice location

1211 N Center St
Perry, FL 32347-2037

Mailing address

333 N Byron Butler Pkwy
Perry, FL 32347-2300
Phone (850) 584-0609

Other identifiers 2

IdentifierTypeStateIssuer
660099900MedicaidFL
10D0961931OtherCLIA

Other names 1

  • DMH Pediatrics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1639117237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472300",
            "telephone_number": "850-584-0609",
            "fax_number": "850-584-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N CENTER ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472037",
            "telephone_number": "850-584-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "GRAMBLING",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-584-0609"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660099900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D0961931",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMH Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.