Organization
INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL
Active
Parent organization
JACKSON COUNTY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON COUNTY HOSPITAL
Authorized official
BONNIE HART (PT FINANCIAL SPECIALIST)
(850) 526-5300
Entity
Organization
Contact information
Practice address
4318 5TH AVE, MARIANNA, FL 32446-2182
(850) 526-5300
(850) 482-5021
Mailing address
4318 5TH AVE, MARIANNA, FL 32446-2182
(850) 526-5300
(850) 482-5021
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
3999
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660233900
—
FL
01
—
W42
BCBS
FL
Enumeration date
03/19/2014
Last updated
05/14/2014
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