Organization
ER PHYSICIAN GROUP AT JACKSON HOSPITAL
Active
Organization
ER PHYSICIAN GROUP AT JACKSON HOSPITAL
Active
Parent organization
ER PHYSICIAN GROUP AT JACKSON HOSPITAL
Other names
Chipola Quick Care Alford & Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ER PHYSICIAN GROUP AT JACKSON HOSPITAL
Authorized official
MARGARET CARTER (PAYER CREDENTIALING COORDINATOR)
(850) 718-2531
Entity
Organization
Contact information
Practice address
1798 GEORGIA ST, ALFORD, FL 32420-6800
(850) 526-6727
(850) 526-1027
Mailing address
4250 HOSPITAL DR, MARIANNA, FL 32446-1917
(850) 526-6727
(850) 526-1027
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
01/16/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up