Tallahassee Memorial Healthcare INC
Clinic/Center, Rural Health in Crawfordville, FL. Organization (NPI-2).
NPI number1285683045
StatusActive
Last updated in NPPESJan 9, 2025
Details
- NPI
- 1285683045
- Entity type
- Organization (NPI-2)
- Legal business name
- Tallahassee Memorial Healthcare INC
- Organization subpart
- No
- Enumeration date
- May 9, 2006
- Certification date
- Jan 9, 2025
- Last updated
- Jan 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | FL | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
15 Council Moore RdCrawfordville, FL 32327-3117
Phone 850-926-7105 · Fax 850-926-2034
Mailing address
1607 Saint James Ct Ste 1Tallahassee, FL 32308-5352
Phone 850-431-7021 · Fax 850-431-6975
Authorized official
Jennifer Parks
President
8504316234
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