DOCTORS MEMORIAL HOSPITAL (NPI# 1225097967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225097967 |
| Entity Type | Organization |
| Organization Name | DOCTORS MEMORIAL HOSPITAL |
| Other Organization Name | DMH PEDIATRIC AND FAMILY MEDICINE |
| Practice Address |
1706 S Jefferson St Perry FL 32348-5611 |
| Mailing Address |
333 N Byron Butler Pkwy Perry FL 32347-2300 |
| Practice Telephone | 8508382121 |
| Practice Fax Number | 8508381842 |
| Mailing Telephone | 8505840800 |
| Mailing Fax Number | 8505840689 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD BROWN (CEO) |
| Authorized Official Telephone | 8505840885 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 24274 | 01 |
| Other Name | Type Code |
|---|---|
| DMH Pediatric and Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043386865 | Doctors Memorial Hospital | Radiology | Doctors Memorial Hospital, 333 N Byron Butler Parkway, Perry, FL 32347 | 2006-11-24 |
| 1326081282 | Doctors Memorial Hospital | Clinic/Center | 1209 1st Avenue South, Steinhatchee, FL 32359 | 2006-06-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DOCTORS MEMORIAL HOSPITAL | 2600 Hospital Dr, Bonifay, FL 32425-4264 |
| Street Address |
1706 S JEFFERSON ST |
| City | PERRY |
| State | FL |
| Zip Code | 32348-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083098388 | Coastal Complete Care | Clinic/Center | 1706 S Jefferson St, Perry, FL 32348-5611 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811328099 | Ashley Wambolt Mccormick | Registered Nurse | 1706 S. Jefferson, Perry, FL 32348 | 2013-12-12 |
| 1053692293 | Rocky Mountain Holdings LLC | Ambulance | 301 Industrial Park Dr, Perry, FL 32348 | 2011-09-01 |
| 1285959775 | Darrin G Ward | Acupuncturist | 1708 S. Byron Butler Pkwy, Perry, FL 32348 | 2010-03-29 |
| 1568569937 | Apalachee Center Inc | Community/Behavioral Health | 1421 Old Dixie Highway, Perry, FL 32348 | 2006-09-20 |
| 1376645648 | Wilburn Hiram Peacock Jr. | Pharmacist | 2057 W Byron Butler Pkwy, Perry, FL 32348 | 2006-09-05 |
| 1932202272 | Horace Michael Knowles | Pharmacist | 2057 W. Byron Butler Pkwy, Perry, FL 32348 | 2006-09-05 |
| 1881110047 | Dorothy Tucker | Nurse's Aide | 1106 North Ave, Perry, FL 32348 | 2017-08-19 |
| 1780027946 | Patricia Ngozi Kalu | Nurse Practitioner | 8501 Hampton Springs Rd, Perry, FL 32348 | 2013-04-08 |
| 1760722771 | Disc Village, Inc. | Community/Behavioral Health | 1421 Old Dixie Highway, Perry, FL 32348 | 2013-02-28 |
| 1790008191 | Marcia B Bass | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348 | 2010-03-12 |
| Find all providers in zip 32348 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720561939 | Stillwater Medical Center Authority | Clinic/Center | 505 N 14th St, Perry, OK 73077-5021 | 2018-09-13 |
| 1831342880 | Premier Medical Pediatrics Clinic Inc | Clinic/Center | 315 E Ash St, Perry, FL 32347-2029 | 2008-11-03 |
| 1306920103 | State University of Iowa | Clinic/Center | 616 10th St, Perry, IA 50220-2221 | 2006-10-25 |
| 1790728657 | Doctors Memorial Hospital Inc | Clinic/Center | 402 E Ash St, Perry, FL 32347-2105 | 2006-06-14 |
| 1457399982 | Doctors Memorial Hospital Inc | Clinic/Center | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2006-06-04 |
| 1639117237 | Doctors Memorial Hospital Inc | Clinic/Center | 1211 N Center St, Perry, FL 32347-2037 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DOCTORS MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.