Internal Medicine Associates Of Jackson Hospital

LBN: Jackson County Hospital District
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. Jackson County Hospital District can be contacted via phone (850) 526-5300, or through Connolly, Kelly via phone (850) 718-2623.

Contact Information

Primary practice address
4318 5Th Ave Marianna FL 32446-2182
Phone: (850) 526-5300
Fax: (850) 428-5021
Website:
Map and Directions
Authorized official contact:
Name: Connolly, Kelly
Phone: (850) 718-2623

Health care specialties

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

Profile Details

NPI number 1083035232
LBN Legal business name Jackson County Hospital District
DBA Doing business as Internal Medicine Associates Of Jackson Hospital
Authorized official Connolly, Kelly
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2013
Last updated Aug 23rd, 2021 - about 3 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 1083035232 NPPES
Florida MEDICAID 660233900
Florida Other W42

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