Doctors Memorial Hospital Inc
Organization Active NPI Rural Health Clinic/Center · Perry, FL
NPI 1790728657 · NPPES record last updated Jun 20, 2008
Key facts
- NPI
- 1790728657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 660138300 (FL)
- Legal business name
- DOCTORS MEMORIAL HOSPITAL INC
- Practice address
- 402 E Ash St
Perry, FL 32347-2105 - Phone
- (850) 584-0600
- Fax
- (580) 584-0602
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Sara Grambling
- Title
- Administrator
- Phone
- (850) 584-0609
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 660138300 | FL | Yes |
Addresses
Primary practice location
402 E Ash St
Perry, FL 32347-2105
Mailing address
333 N Byron Butler Pkwy
Perry, FL 32347-2300
Phone (850) 584-0609
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660138300 | Medicaid | FL | |
| 10D0961933 | Other | CLIA |
Other names
- DMH Internal Medicine
Other providers in Perry, FL
- Doctors Memorial Hospital Inc
- Doctors Memorial Hospital Inc
- Doctors Memorial Hospital Inc
- Doctors Memorial Hospital Inc
- Doctors Memorial Hospital Inc
- Doctors Memorial Hospital, Inc
- Doctors' Memorial Hospital
- Doctors' Memorial Hospital Lab
- Doctors' Memorial Hospital, Inc
- Diane Dodgen
All providers in Perry, FL · Rural Health Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.