TALLAHASSEE MEMORIAL HEALTHCARE INC (NPI# 1649229402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649229402 |
| Entity Type | Organization |
| Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE INC |
| Practice Address |
1549 S Jefferson St Monticello FL 32344-1651 |
| Mailing Address |
1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 |
| Practice Telephone | 8509970707 |
| Practice Fax Number | 8509976833 |
| Mailing Telephone | 8504317021 |
| Mailing Fax Number | 8504316975 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | MR. ROBIN L MOSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8504316256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS GROUP NUMBER | 24766E | 01 |
| FL | 660037901 | 05 | |
| FL | 375270408 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1447555743 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 4230 Hospital Dr Ste 202, Marianna, FL 32446-1955 | 2011-01-18 |
| 1558681684 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 555 North Byron Butler Parkway, Tmh Physician Partners, Perry, Perry, FL 32348-2315 | 2010-06-11 |
| 1386862852 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1505 Surgeons Drive, Tallahassee, FL 32308 | 2007-04-23 |
| 1174539522 | Tallahassee Memorial Healthcare Inc | Home Health | 1619 Physicians Dr, Tallahassee, FL 32308-4620 | 2006-07-31 |
| 1376140913 | Tallahassee Memorial Healthcare Inc | Family Medicine | 137 12th St, Apalachicola, FL 32320-2110 | 2020-10-07 |
| 1649892399 | Tallahassee Memorial Healthcare Inc | Dentist | 1401 Centerville Rd Ste G02, Tallahassee, FL 32308-4638 | 2020-05-15 |
| 1558983205 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2020-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TALLAHASSEE MEMORIAL HEALTHCARE INC | 2039 N Monroe St, Tallahassee, FL 32303-4727 |
| Street Address |
1549 S JEFFERSON ST |
| City | MONTICELLO |
| State | FL |
| Zip Code | 32344-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336153808 | Whitson Hines Boyd | Physician Assistant | 1549 S Jefferson St, Monticello, FL 32344-1651 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875355 | Pedro Enrique Maseda | Physical Medicine & Rehabilitation | Brynwood Health Rehab, 1656 Jefferson Street, Monticello, FL 32344 | 2018-09-20 |
| 1821482142 | Krista L Mcmullen | Licensed Practical Nurse | 1255 West Washington Street, Monticello, FL 32344 | 2015-03-25 |
| 1861689994 | Ellen Hamilton | Social Worker | 5877 North Salt Road, Monticello, FL 32344 | 2007-10-03 |
| 1891898383 | Joseph C Dorn | Family Medicine | 193 Nursery Rd, Monticello, FL 32344 | 2006-09-07 |
| 1972569770 | Judy Ann Kleynen | Family Medicine | 1549 S. Jefferson Street, Monticello, FL 32344 | 2006-04-21 |
| 1770549545 | Wesley Douglas Scoles | Family Medicine | 1549 South Jefferson Steet, Monticello, FL 32344 | 2006-04-21 |
| 1396880654 | County of Jefferson Office of Clerk Circuit Court | Ambulance | 1456 S. Jefferson St, Monticello, FL 32344-0000 | 2007-02-21 |
| 1902047939 | True Blue Doulas, Inc | Community Health Worker | 680 W Halpin Rd, Monticello, FL 32344-0310 | 2009-03-21 |
| 1548860265 | Clinton Brad Wilson | Pharmacist | 650 Hiawatha Farms Rd, Monticello, FL 32344-0821 | 2020-10-30 |
| 1720590565 | Angela Decker Markley | Nurse Practitioner | 365 Holly Rd, Monticello, FL 32344-1011 | 2017-11-02 |
| Find all providers in zip 32344 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1245289172 | Southwest Mississippi Regional Medical Center | Clinic/Center | 1167 E Broad St, Monticello, MS 39654-7682 | 2006-05-08 |
| 1851867139 | Emilee Burton Greenwood | Clinic/Center | 1215 N Main St Ste 2, Monticello, KY 42633-2900 | 2018-10-15 |
| 1558527259 | Kirby Medical Center | Clinic/Center | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2008-08-01 |
| 1700955317 | Mercy Physician Associates, Inc | Clinic/Center | 619 S Main St, Monticello, IA 52310-1733 | 2006-11-07 |
| 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 | ||||
| City | MONTICELLO |
| Zip Code | 32344 |
Please comment or provide details below to improve the information on TALLAHASSEE MEMORIAL HEALTHCARE INC.
| 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.