TALLAHASSEE MEMORIAL HEALTHCARE INC NPI 1285683045

NPI Information

NPI: 1285683045
Provider Name: TALLAHASSEE MEMORIAL HEALTHCARE INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 10D2091855

Address:
15 COUNCIL MOORE RD
CRAWFORDVILLE, FL
ZIP 32327
Phone: (850) 926-7105
Get Directions

TALLAHASSEE MEMORIAL HEALTHCARE INC is a rural health clinic center in Crawfordville, FL. TALLAHASSEE MEMORIAL HEALTHCARE INC NPI is 1285683045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 COUNCIL MOORE RD
CRAWFORDVILLE, FL
ZIP 32327-117
Phone: (850) 926-7105
Fax: (850) 926-2034

The provider's authorized official is Robin L Moss .
The authorized official title is Executive Director and has the following contact phone number (850) 431-6256.

The CLIA number assigned to this NPI record is 10D2091855 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 1/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health		FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	660037903	MEDICAID	FLORIDA
2	375270406	MEDICAID	FLORIDA
3	24766H	OTHER	FLORIDA	BCBS GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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