NPIMap

Organization Active NPI

Tallahassee Memorial Healthcare

  • General Acute Care Hospital
  • Tallahassee, FL
National Provider Identifier
1669874566
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
SZ 6860 Issued in FL
Legal business name
TALLAHASSEE MEMORIAL HEALTHCARE
Practice address
1309 Thomasville Rd
Tallahassee, FL 32303-5607
Phone
(850) 431-7121
NPI assigned
Sep 23, 2014
Last updated
Sep 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Jackie Stokes Plack, M. S. CF-SLP
Title
Speech Language Pathologist
Phone
(850) 728-2414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X SZ 6860 FL Primary

Addresses

Primary practice location

1309 Thomasville Rd
Tallahassee, FL 32303-5607

Mailing address

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

National Provider Directory

National Provider Directory

Locations

1309 Thomasville Rd
Tallahassee, FL 32303
Phone (850) 431-5910

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1669874566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 THOMASVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035607",
            "telephone_number": "850-431-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE MEMORIAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "PLACK",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "STOKES",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "850-728-2414",
        "authorized_official_credential": "M. S. CF-SLP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "SZ 6860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.