Organization
HOLMES COUNTY HOSPITAL CORP
Active
Other names
Doctors Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN BAKER (ADMINISTRATOR/CEO)
(850) 547-8001
Entity
Organization
Contact information
Practice address
2600 HOSPITAL DRIVE, BONIFAY, FL 32425
(850) 547-8015
(850) 547-8025
Mailing address
P.O. BOX 188, BONIFAY, FL 32425
(850) 547-8015
(850) 547-8025
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
4427
FL
282NC0060X
Critical Access Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010103600
—
FL
05
—
010103602
—
FL
01
—
428
BC/BS PROVIDER NUMBER
FL
01
—
CH0342
MEDICARE RAIL ROAD
—
Enumeration date
10/18/2005
Last updated
03/31/2022
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