TALLAHASSEE MEMORIAL HEALTHCARE (NPI# 1992841282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992841282 |
| Entity Type | Organization |
| Organization Name | TALLAHASSEE MEMORIAL HEALTHCARE |
| Practice Address |
1616 Physicians Dr Tallahassee FL 32308-4619 |
| Practice Telephone | 8504313910 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BETH BURCH (BUSINESS MANAGER) |
| Authorized Official Telephone | 8504314910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | SW5704 | FL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669874566 | Tallahassee Memorial Healthcare | General Acute Care Hospital | 1309 Thomasville Rd, Tallahassee, FL 32303-5607 | 2014-09-23 |
| 1013145341 | Tallahassee Memorial Healthcare | Personal Emergency Response Attendant | 1324 E 6th Ave, Tallahassee, FL 32303-6506 | 2009-06-25 |
| 1518099779 | Tallahassee Memorial Healthcare | General Acute Care Hospital | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2007-03-12 |
| 1134258726 | Tallahassee Memorial Healthcare | Psychiatric Hospital | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2007-03-02 |
| 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 |
1616 PHYSICIANS DR |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174580153 | Wayne Holt Denton | Psychiatry & Neurology | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2006-04-26 |
| 1437676780 | Courtney Nicole Willoughby | Counselor | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2017-08-28 |
| 1659742716 | Jay William Wallace | Pharmacist | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2015-10-15 |
| 1710328174 | Melissa Gael Murphy | Social Worker | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2013-07-15 |
| 1407195704 | Heather L. Lincicome | Social Worker | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2013-02-06 |
| 1033447099 | Caryl Marie Brady | Social Worker | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2009-12-02 |
| 1205161668 | Paul Robert Knoll | Counselor | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2009-10-02 |
| 1346488277 | Lisa Ann Traver-etheridge | Social Worker | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2009-01-30 |
| 1407041023 | Vicki Buzbee Burks | Counselor | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2007-09-06 |
| 1487848842 | Glenn August Graves | Social Worker | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740614734 | Daniel Leighton Hollar | Psychiatric Hospital | 2387 Parrot Ln, Tallahassee, FL 32303-8333 | 2013-08-26 |
| 1720460892 | Cassandra Collings | Psychiatric Hospital | 2626 Capital Medical Blvd, Tallahassee, FL 32308-3040 | 2015-06-24 |
| 1134258726 | Tallahassee Memorial Healthcare | Psychiatric Hospital | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2007-03-02 |
| 1033215504 | Apalachee Center Inc | Psychiatric Hospital | 2634 Capital Cir Ne, Tallahassee, FL 32308-4106 | 2006-09-15 |
| 1376568873 | Tallahassee Memorial Healthcare, Inc. | Psychiatric Hospital | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952839201 | Oglethorpe of Orlando Inc | Psychiatric Hospital | 91 Beehive Cir, Saint Cloud, FL 34769-1432 | 2017-05-31 |
| 1619403359 | Laurie Lambert | Psychiatric Hospital | 14574 92nd Ct N, West Palm Beach, FL 33412-1729 | 2017-05-01 |
| 1538614565 | Dancing Heart Inc. | Psychiatric Hospital | 5520 Haverhill Rd N Apt 24, West Palm Beach, FL 33407-3000 | 2016-08-19 |
| 1285094813 | Southern Winds Hospital LLC | Psychiatric Hospital | 4225 W 20th Ave, Hialeah, FL 33012-5826 | 2016-02-24 |
| 1164812269 | Key Biscayne Psychiatry | Psychiatric Hospital | 240 Crandon Blvd Ste 230, Key Biscayne, FL 33149-1624 | 2015-01-27 |
| 1881096071 | Wilhelm C J Larsen Md Pa | Psychiatric Hospital | 351 Potter Rd, West Palm Beach, FL 33405-3621 | 2014-09-19 |
| 1902218449 | Shick Shadel of Florida LLC | Psychiatric Hospital | 5960 Sw 106th St, Cooper City, FL 33328-6410 | 2014-06-02 |
| 1578814265 | Jackson South Community Hospital | Psychiatric Hospital | 9333 Sw 152 St, Miami, FL 33156 | 2012-09-21 |
| 1174836092 | Dfdfdf | Psychiatric Hospital | 7156 Colony Club Dr, 309, Lake Worth, FL 33463-7836 | 2010-07-20 |
| 1992967434 | Necdet Cagil | Psychiatric Hospital | 1841 Se Erwin Rd, Port St Lucie, FL 34952-5517 | 2008-06-26 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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| 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.