Organization Name: | CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC. |
NPI Number: | 1437253085 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARA NICOLE TAYLOR (BUSINESS OFFICE MANAGER) |
Mailing Address: | 20370 Ne Burns Ave Blountstown |
State: | FL US |
Postal Code: | 324241045 |
Phone Number: | 8506745411 |
Fax Number: | 8506741649 |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 04/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 4019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |