Er Physician Group At Jackson Hospital
LBN: Er Physician Group At Jackson Hospital
Er Physician Group At Jackson Hospital is an health care organization with primary practice located at 4250 Hospital Dr , Marianna FL 32446-1917. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Rural Health, Hospitals / Rural. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Er Physician Group At Jackson Hospital can be contacted via phone (850) 526-2200, or through Connolly, Kelly via phone (850) 718-2623.
Contact Information
Primary practice address
4250 Hospital Dr
Marianna FL 32446-1917
Phone: (850) 526-2200
Fax: (850) 718-2649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Hospitals / Rural | 282NR1301X | 3999 | Florida |
Profile Details
| NPI number | 1407801194 |
|---|---|
| LBN Legal business name | Er Physician Group At Jackson Hospital |
| DBA Doing business as | |
| Authorized official | Connolly, Kelly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jan 23rd, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407801194 | NPPES |
| Florida | MEDICAID | 054877400 | |
| Florida | Other | 38679 | |
| Florida | Other | CJ6133 |
Popular Providers
-
Barnwell County Hospital
811 Reynolds Road , Barnwell SC 29812-1573 -
Northeast Florida Endocrine And Diabetes Associates Pa
915 West Monroe Street Suite 200, Jacksonville FL 32204-1177 -
Everest Medical Care P A
4296 5Th Ave , Marianna FL 32446-2173 -
University Of Connecticut Health Center
263 Farmington Ave , Farmington CT 06030-0001 -
Frontier Behavioral Health
107 S Division St , Spokane WA 99202 -
Lba Medical Services Inc
145 Calle Guaraguao , San Juan PR 00926-7101 -
Medac Health Services Pa
4402 Shipyard Blvd , Wilmington NC 28403 -
Emergency Physicians Inc Pc
300 68Th St Se , Grand Rapids MI 49548-6927