# HEALTHMARK OF WALTON INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthmark Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710984299
- **Authorized official:** MS. LISA SHIRLEY HOLLEY (COO)
- **Authorized official phone:** (850) 951-4500

## Contact information

- **Practice address:** 4413 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-6307
- **Practice address phone:** (850) 951-4500
- **Practice address fax:** (850) 892-7079
- **Mailing address:** 4413 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-6307
- **Mailing address phone:** (850) 951-4500
- **Mailing address fax:** (850) 892-7079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 4234 | FL | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 09/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010188500 | — | FL |