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Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PARKS (PRESIDENT)
(850) 431-6234
Entity
Organization
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-6200
(850) 431-6951
Mailing address
1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308-5352
(850) 431-7021
(850) 431-6975
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000100009A
—
GA
05
—
010113300
—
FL
05
—
01684
—
FL
05
—
021393400
—
FL
05
—
052611
—
FL
05
—
20472
—
FL
01
—
216219
MEDICARE HMO AVMED
FL
01
—
24766
BLUE CROSS PROF
FL
01
—
406
BLUE CROSS BLUE SHIELD
FL
05
—
N200941
—
FL
Enumeration date
07/17/2006
Last updated
01/09/2025
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