Organization
DOCTORS MEMORIAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA A GRAMBLING (VP, OPERATIONS)
(850) 584-0643
Entity
Organization
Contact information
Practice address
333 N BYRON BUTLER PKWY, PERRY, FL 32347-2300
(850) 584-0800
(850) 223-2308
Mailing address
333 N BYRON BUTLER PKWY, PERRY, FL 32347-2300
(850) 584-0800
(850) 223-2308
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
FL
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01080000
—
FL
01
—
24274A
MEDICARE GROUP PART B
FL
01
—
427
BLUE CROSS
FL
Enumeration date
06/15/2006
Last updated
11/02/2023
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