JACKSON COUNTY HOSPITAL DISTRICT (NPI# 1083035232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083035232 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY HOSPITAL DISTRICT |
| Other Organization Name | INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL |
| Practice Address |
4318 5th Ave Marianna FL 32446-2182 |
| Mailing Address |
4250 Hospital Dr Marianna FL 32446-1917 |
| Practice Telephone | 8505265300 |
| Practice Fax Number | 8504285021 |
| Mailing Telephone | 8505262200 |
| Mailing Fax Number | 8507182844 |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | MRS. MELISSA MONIZ (PHYSICIAN PRACTICE DIRECTOR) |
| Authorized Official Telephone | 8507182677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | W42 | 01 |
| FL | 660233900 | 05 |
| Other Name | Type Code |
|---|---|
| INTERNAL MEDICINE ASSOCIATES OF JACKSON HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841371739 | Jackson County Hospital District | Medicare Defined Swing Bed Unit | 1013 S Wells Street, Edna, TX 77957-4098 | 2006-10-18 |
| 1457432460 | Jackson County Hospital District | Internal Medicine | 1013 S Wells St, Edna, TX 77957-4098 | 2006-10-17 |
| 1407892698 | Jackson County Hospital District | Skilled Nursing Facility | 107 E Rogers, Ganado, TX 77962-1204 | 2006-06-22 |
| 1215971478 | Jackson County Hospital District | Emergency Medicine | 1013 S. Wells Street, Edna, TX 77957-4098 | 2006-06-16 |
| 1285677401 | Jackson County Hospital District | Home Health | 918 South Wells Street, Edna, TX 77957-3745 | 2006-06-14 |
| 1346283033 | Jackson County Hospital District | Clinic/Center | 202 S Third Street, Ganado, TX 77962-1214 | 2006-06-13 |
| 1124061882 | Jackson County Hospital District | General Acute Care Hospital | 1013 South Wells Street, Edna, TX 77957-4098 | 2006-06-13 |
| 1992748693 | Jackson County Hospital District | Clinic/Center | 1013a South Wells Street, Edna, TX 77957-4045 | 2006-06-13 |
| 1710261573 | Jackson County Hospital District | Ambulance | 1013 S Wells St, Edna, TX 77957-4045 | 2011-09-28 |
| 1881815520 | Jackson County Hospital District | Specialist | 3051 6th St, Marianna, FL 32446-1933 | 2007-05-01 |
| Street Address |
4318 5TH AVE |
| City | MARIANNA |
| State | FL |
| Zip Code | 32446-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528056223 | Steven Walter Spence | Internal Medicine | 4318 5th Ave, Marianna, FL 32446-2182 | 2005-10-07 |
| 1932675501 | Megan Gardner Tyler | Nurse Practitioner | 4318 5th Ave, Marianna, FL 32446-2182 | 2018-10-22 |
| 1164830725 | Brunner Surgical | Clinic/Center | 4318 5th Ave, Marianna, FL 32446-2182 | 2014-07-28 |
| 1427475185 | Internal Medicine Associates of Jackson Hospital | Clinic/Center | 4318 5th Ave, Marianna, FL 32446-2182 | 2014-03-19 |
| 1629391883 | Kimberly Miller Dykes | Nurse Practitioner | 4318 5th Ave, Marianna, FL 32446-2182 | 2010-03-02 |
| 1699916098 | Anna Schack Brunner | Nurse Practitioner | 4318 5th Ave, Marianna, FL 32446-2182 | 2009-03-13 |
| 1679608269 | Melanie Alexander | Nurse Practitioner | 4318 5th Ave, Marianna, FL 32446-2182 | 2007-02-22 |
| 1053462085 | Julie Renee Smith | Nurse Practitioner | 4318 5th Ave, Marianna, FL 32446-2182 | 2007-01-16 |
| 1417974999 | Internal Medicine Associates | Internal Medicine | 4318 5th Ave, Marianna, FL 32446-2182 | 2006-07-17 |
| 1205873841 | Internal Medicine Associates | Clinic/Center | 4318 5th Ave, Marianna, FL 32446-2182 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
| 1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
| 1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
| 1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
| 1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
| 1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
| 1831430826 | Jantzen Wayne Whitehead | Counselor | 2860 Highway 71 N, Suite A, Marianna, FL 32446 | 2013-03-15 |
| 1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
| Find all providers in zip 32446 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073542825 | Joseph T. Sherrel, Md Pa | Clinic/Center | 4316 5th Ave, Marianna, FL 32446-2182 | 2006-07-02 |
| 1427475185 | Internal Medicine Associates of Jackson Hospital | Clinic/Center | 4318 5th Ave, Marianna, FL 32446-2182 | 2014-03-19 |
| 1538108725 | Jackson County Hospital District | Clinic/Center | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2006-06-05 |
| 1205873841 | Internal Medicine Associates | Clinic/Center | 4318 5th Ave, Marianna, FL 32446-2182 | 2006-06-01 |
| 1407801194 | Er Physician Group At Jackson Hospital | Clinic/Center | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.