Grant Center Hospital of Ocala Inc.

Organization Active NPI Family Medicine Physician · Chattahoochee, FL

NPI 1912947730 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1912947730
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
GRANT CENTER HOSPITAL OF OCALA INC.
Practice address
409 High St
Chattahoochee, FL 32324-1303
Phone
(850) 663-4643
NPI assigned
Jun 8, 2006
Organization subpart
No

Authorized official

Name
Mickey Pickler
Title
VP
Phone
(850) 663-4643

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Capital Regional Healthcare in Southwood (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

409 High St
Chattahoochee, FL 32324-1303

Mailing address

409 High St
Chattahoochee, FL 32324-1303
Phone (850) 663-4643

Other identifiers

IdentifierTypeStateIssuer
33258OtherFLBCBS OF FL

Other names

  • Family Medical Clinic Doing business as

Other providers in Chattahoochee, FL

All providers in Chattahoochee, FL · Family Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.