Organization Name: | CAMPBELLTON-GRACEVILLE HOSPITAL |
NPI Number: | 1205886280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIMMY RIGSBY (ADMINISTRATOR) |
Mailing Address: | 5429 College Dr Graceville |
State: | FL US |
Postal Code: | 324401857 |
Phone Number: | 8502634431 |
Fax Number: | 8502633312 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 07/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 4172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |