Organization
DOCTORS MEMORIAL HOSPITAL INC
Active
Other names
DMH Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
SARA GRAMBLING (ADMINISTRATOR)
(850) 584-0609
Entity
Organization
Contact information
Practice address
1211 N CENTER ST, PERRY, FL 32347-2037
(850) 584-2141
Mailing address
333 N BYRON BUTLER PKWY, PERRY, FL 32347-2300
(850) 584-0609
(850) 584-0689
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0961931
CLIA
—
05
—
660099900
—
FL
Enumeration date
06/04/2006
Last updated
05/29/2008
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