# INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JACKSON COUNTY HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427475185
- **Legal business name:** JACKSON COUNTY HOSPITAL
- **Authorized official:** BONNIE HART (PT FINANCIAL SPECIALIST)
- **Authorized official phone:** (850) 526-5300

## Contact information

- **Practice address:** 4318 5TH AVE, MARIANNA, FL 32446-2182
- **Practice address phone:** (850) 526-5300
- **Practice address fax:** (850) 482-5021
- **Mailing address:** 4318 5TH AVE, MARIANNA, FL 32446-2182
- **Mailing address phone:** (850) 526-5300
- **Mailing address fax:** (850) 482-5021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 3999 | FL | Yes |

## Other

- **Enumeration date:** 03/19/2014
- **Last updated:** 05/14/2014