Organization
CAMPBELLTON-GRACEVILLE HOSPITAL
Active
Parent organization
CAMPBELLTON-GRACEVILLE HOSPITAL
Other names
Campbellton-Graceville Hospital Physicians' Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAMPBELLTON-GRACEVILLE HOSPITAL
Authorized official
MR. JIMMY B RIGSBY (ADMINISTRATOR)
(850) 263-4431
Entity
Organization
Contact information
Practice address
5429 COLLEGE DRIVE, SUITE B, GRACEVILLE, FL 32440-1858
(850) 263-0639
(850) 263-9726
Mailing address
5429 COLLEGE DRIVE, SUITE B, GRACEVILLE, FL 32440-1858
(850) 263-0639
(850) 263-9726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003227500
—
FL
05
—
003227500(RHC)
—
FL
05
—
003227501
—
FL
Enumeration date
02/18/2011
Last updated
10/03/2011
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