Organization
DOCTORS MEMORIAL HOSPITAL INC
Active
Other names
Steinhatchee Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN TIDWELL (CLINIC MANAGER)
(850) 223-5409
Entity
Organization
Contact information
Practice address
1209 1ST AVENUE SOUTH, STEINHATCHEE, FL 32359
(385) 498-5888
(352) 498-7726
Mailing address
1209 1ST AVE SOUTH, STEINHATCHEE, FL 32359-2300
(352) 498-5888
(358) 495-7726
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0961934
CLIA
—
05
—
660092100
—
FL
Enumeration date
06/14/2006
Last updated
02/20/2024
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