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Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Other names
JACKSON HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CONNOLLY (CFO)
(850) 718-2623
Entity
Organization
Contact information
Practice address
4250 HOSPITAL DR, MARIANNA, FL 32446-1917
(850) 526-2200
(850) 718-2649
Mailing address
4250 HOSPITAL DR, PO BOX 1608, MARIANNA, FL 32446-1917
(850) 526-2200
(850) 718-2649
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
282NR1301X
Rural Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010106100
—
FL
Enumeration date
06/05/2006
Last updated
01/05/2024
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