Organization Name: | WAKULLA COUNTY HEALTH DEPARTMENT |
NPI Number: | 1548303233 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARLON HUNTER (ADMINISTRATOR) |
Mailing Address: | 48 Oak St Crawfordville |
State: | FL US |
Postal Code: | 323272085 |
Phone Number: | 8509263591 |
Fax Number: | 8509261938 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0905X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, State or Local |
Taxonomy Definition: |