Organization Name: | JACKSON COUNTY HOSPITAL DISTRICT |
NPI Number: | 1083035232 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA MONIZ (PHYSICIAN PRACTICE DIRECTOR) |
Mailing Address: | 4318 5th Ave Marianna |
State: | FL US |
Postal Code: | 324462182 |
Phone Number: | 8505265300 |
Fax Number: | 8504285021 |
NPI Enumeration Date: | 12/13/2013 |
NPI Last Update Date: | 12/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |