NPIMap

Organization Active NPI

Tallahassee Memorial Healthcare Inc

Doing business as Tallahassee Memorial Emergency Center - Northeast

  • Emergency Care Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1710323571
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
4080 Issued in FL
Legal business name
TALLAHASSEE MEMORIAL HEALTHCARE INC
Doing business as
Tallahassee Memorial Emergency Center - Northeast
Practice address
1260 Metropolitan Blvd
Tallahassee, FL 32312-2557
Phone
(850) 422-5413
Fax
(850) 422-5414
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Mr. Robin L Moss
Title
Executive Director
Phone
(850) 431-6256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 4080 FL Primary

Addresses

Primary practice location

1260 Metropolitan Blvd
Tallahassee, FL 32312-2557

Mailing address

1607 Saint James CT Ste 1
Tallahassee, FL 32308-5352
Phone (850) 431-7021

Other names 1

  • Tallahassee Memorial Emergency Center - Northeast Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2056771Tallahassee Memorial Emergency Center - Northeast1260 Metropolitan Blvd, Tallahassee, FL 32312AccreditationJan 20, 2027
10D2085256Tallahassee Memorial Emergency Center1260 Metropolitan Blvd, Tallahassee, FL 32312Provider-performed microscopyOct 8, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1710323571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 SAINT JAMES CT STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085352",
            "telephone_number": "850-431-7021",
            "fax_number": "850-431-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 METROPOLITAN BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122557",
            "telephone_number": "850-422-5413",
            "fax_number": "850-422-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE MEMORIAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-431-6256",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "FL",
            "license": "4080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallahassee Memorial Emergency Center - Northeast",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tallahassee Memorial Emergency Center - Northeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.