Organization Name: | CALHOUN-LIBERTY HOSPITAL ASSOCIATION INC |
NPI Number: | 1588944334 |
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: | 8506743550 |
NPI Enumeration Date: | 08/25/2011 |
NPI Last Update Date: | 11/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | HCC680 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |