Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Other names
Tallahassee Memorial Hospital Extended Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBIN L MOSS JR. (ADMINISTRATOR)
(850) 431-6256
Entity
Organization
Contact information
Practice address
1609 MEDICAL DR, TALLAHASSEE, FL 32308-4617
(850) 431-5324
(850) 431-6322
Mailing address
1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308-5352
(850) 431-7021
(850) 431-6975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010113300
—
FL
01
—
L87
BLUE CROSS PROVIDER #
FL
Enumeration date
08/23/2006
Last updated
01/28/2019
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