Organization
JACKSON COUNTY HOSPITAL DISTRICT
Active
Parent organization
JACKSON COUNTY HOSPITAL DISTRICT
Other names
INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON COUNTY HOSPITAL DISTRICT
Authorized official
MRS. KELLY CONNOLLY (CFO)
(850) 718-2623
Entity
Organization
Contact information
Practice address
4318 5TH AVE, MARIANNA, FL 32446-2182
(850) 526-5300
(850) 428-5021
Mailing address
4250 HOSPITAL DR, MARIANNA, FL 32446-1917
(850) 526-2200
(850) 718-2844
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660233900
—
FL
01
—
W42
BCBS
FL
Enumeration date
12/13/2013
Last updated
08/23/2021
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