NPIMap

Organization Active NPI

Jackson County Hospital District

Doing business as Jackson Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Marianna, FL
National Provider Identifier
1649311507
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
3999 Issued in FL
Legal business name
JACKSON COUNTY HOSPITAL DISTRICT
Doing business as
Jackson Hospital
Practice address
4250 Hospital Dr
Marianna, FL 32446-1917
Phone
(850) 526-2200
NPI assigned
Feb 12, 2007
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
JACKSON COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Brooke Donaldson
Title
Chief Executive Officer
Phone
(850) 718-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 3999 FL Primary

Addresses

Primary practice location

4250 Hospital Dr
Marianna, FL 32446-1917

Mailing address

4250 Hospital Dr
P O Box 1608
Marianna, FL 32446-1917
Phone (850) 526-2200

Other names 1

  • Jackson Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Jackson Hospital

Locations

4230 Hospital Dr
Ste 110
Marianna, FL 32446
Phone (850) 526-2104

4230 Lafayette St
Ste C
Marianna, FL 32446
Phone (850) 482-6221

4896 Highway 90
#B
Marianna, FL 32446
Phone (850) 526-6730

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1649311507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "address_2": "P O BOX 1608",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-526-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-526-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "850-718-2622"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "FL",
            "license": "3999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.