Internal Medicine Associates Of Jackson Hospital

LBN: Internal Medicine Associates Of Jackson Hospital
Internal Medicine Associates Of Jackson Hospital is an health care organization with primary practice located at 4318 5Th Ave , Marianna FL 32446-2182. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Internal Medicine Associates Of Jackson Hospital can be contacted via phone (850) 526-5300, or through Hart, Bonnie via phone (850) 526-5300.

Contact Information

Primary practice address
4318 5Th Ave Marianna FL 32446-2182
Phone: (850) 526-5300
Fax: (850) 482-5021
Website:
Map and Directions
Authorized official contact:
Name: Hart, Bonnie
Phone: (850) 526-5300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 3999 Florida

Profile Details

NPI number 1427475185
LBN Legal business name Internal Medicine Associates Of Jackson Hospital
DBA Doing business as
Authorized official Hart, Bonnie
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 19th, 2014
Last updated May 14th, 2014 - about 10 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427475185 NPPES
Florida Other W42 BCBS
Florida MEDICAID 660233900 BCBS

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