Organization
DOCTORS MEMORIAL HOSPITAL INC
Active
Other names
DMH Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SARA GRAMBLING (ADMINISTRATOR)
(850) 584-0609
Entity
Organization
Contact information
Practice address
402 E ASH ST, PERRY, FL 32347-2105
(850) 584-0600
(580) 584-0602
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
660138300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0961933
CLIA
—
05
—
660138300
—
FL
Enumeration date
06/14/2006
Last updated
06/20/2008
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