# JACKSON HOSPITAL DME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Raymond M Bleday, MD Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689975583
- **Authorized official:** LAWRENCE R MEESE JR. CEO (ADMINISTRATOR)
- **Authorized official phone:** (850) 526-2200

## Contact information

- **Practice address:** 4295 3RD AVE, MARIANNA, FL 32446-2120
- **Practice address phone:** (850) 482-0017
- **Practice address fax:** (850) 482-0018
- **Mailing address:** 4250 HOSPITAL DR, MARIANNA, FL 32446-1917
- **Mailing address phone:** (850) 526-2200
- **Mailing address fax:** (850) 718-2894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2010
- **Last updated:** 08/29/2012