| Organization Name: | CAMPBELLTON-GRACEVILLE HOSPITAL |
| NPI Number: | 1407169733 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDITH P AUSTIN (ASST ADMINISTRATOR) |
| Mailing Address: | 5429 College Dr Ste B Graceville |
| State: | FL US |
| Postal Code: | 324401859 |
| Phone Number: | 8502634431 |
| Fax Number: | 8502633312 |
| NPI Enumeration Date: | 07/15/2010 |
| NPI Last Update Date: | 07/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ZZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |