# NORTH WALTON RURAL HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Walton Doctors Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750142121
- **Authorized official:** JON WARD MD (OWNER)
- **Authorized official phone:** (850) 290-2065

## Contact information

- **Practice address:** 4413 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-6307
- **Practice address phone:** (850) 920-2065
- **Mailing address:** 4413 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-6307
- **Mailing address phone:** (850) 920-2065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2024
- **Last updated:** 04/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 124986600 | — | FL |
| 05 | — | 365397 | — | AL |
| 01 | — | 4558 | HOSPITALLICENSE | FL |
| 05 | — | 4558 | — | FL |