# JACKSON COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACKSON COUNTY HOSPITAL DISTRICT
- **Other names:** INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083035232
- **Legal business name:** JACKSON COUNTY HOSPITAL DISTRICT
- **Authorized official:** MRS. KELLY CONNOLLY (CFO)
- **Authorized official phone:** (850) 718-2623

## Contact information

- **Practice address:** 4318 5TH AVE, MARIANNA, FL 32446-2182
- **Practice address phone:** (850) 526-5300
- **Practice address fax:** (850) 428-5021
- **Mailing address:** 4250 HOSPITAL DR, MARIANNA, FL 32446-1917
- **Mailing address phone:** (850) 526-2200
- **Mailing address fax:** (850) 718-2844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2013
- **Last updated:** 08/23/2021