CAMPBELLTON-GRACEVILLE HOSPITAL (NPI# 1205886280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205886280 |
| Entity Type | Organization |
| Organization Name | CAMPBELLTON-GRACEVILLE HOSPITAL |
| Practice Address |
5429 College Dr Graceville FL 32440-1857 |
| Practice Telephone | 8502634431 |
| Practice Fax Number | 8502633312 |
| Mailing Telephone | 8502634431 |
| Mailing Fax Number | 8502633312 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-07-08 |
| Authorized Official Name | MR. JIMMY RIGSBY (ADMINISTRATOR) |
| Authorized Official Telephone | 8502634431 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAMPBELLTON-GRACEVILLE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
4172 | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010194000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306143839 | Campbellton-graceville Hospital | Nurse Practitioner | 5429 College Drive, Suite B, Graceville, FL 32440-1858 | 2011-02-18 |
| 1154373744 | Campbellton-graceville Hospital | Internal Medicine | 5429 College Dr Ste B, Graceville, FL 32440-1859 | 2006-05-16 |
| 1407169733 | Campbellton-graceville Hospital | Clinical Nurse Specialist | 5429 College Dr Ste B, Graceville, FL 32440-1859 | 2010-07-15 |
| 1942417316 | Campbellton-graceville Hospital | Medicare Defined Swing Bed Unit | 5429 College Dr, Graceville, FL 32440-1857 | 2007-05-16 |
| 1942348040 | Campbellton-graceville Hospital | Family Medicine | 5429 College Dr, Graceville, FL 32440-1857 | 2007-02-01 |
| Street Address |
5429 COLLEGE DR |
| City | GRACEVILLE |
| State | FL |
| Zip Code | 32440-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588171789 | Northwest Florida Healthcare, Inc. | Clinic/Center | 5429 College Dr, Graceville, FL 32440-1858 | 2018-01-09 |
| 1073932828 | John Byrd | Internal Medicine | 5429 College Dr, Graceville, FL 32440-1858 | 2014-04-09 |
| 1861679235 | Julian Giraldo | Family Medicine | 5429 College Dr, Graceville, FL 32440-1858 | 2008-01-28 |
| 1942417316 | Campbellton-graceville Hospital | Medicare Defined Swing Bed Unit | 5429 College Dr, Graceville, FL 32440-1857 | 2007-05-16 |
| 1942348040 | Campbellton-graceville Hospital | Family Medicine | 5429 College Dr, Graceville, FL 32440-1857 | 2007-02-01 |
| 1982609855 | Daniel E Fulmer | Family Medicine | 5429 College Dr, Graceville, FL 32440-1858 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417148396 | Service Drug Store Inc | Pharmacy | 5341 Brown St., Graceville, FL 32440 | 2007-08-06 |
| 1669543310 | Terry Emmitt Nichols | Dentist | 966 7th Ave, Graceville, FL 32440 | 2006-11-13 |
| 1740365519 | John T Crutchfield | Pharmacist | 5341 Brown Street, Graceville, FL 32440 | 2006-10-27 |
| 1760575104 | Cook Discount Drugs Inc | Pharmacy | 5324 Brown St, Graceville, FL 32440 | 2006-09-30 |
| 1083688311 | Lucinda Weeks Collins | Nurse Practitioner | 5239 Brown St, Graceville, FL 32440 | 2006-02-14 |
| 1043562408 | Karen Clark Ramsey | Nutritionist | 5429 College Drive, Graceville, FL 32440 | 2012-10-10 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1154847580 | Davis Family Medicine LLC | Family Medicine | 5556 Brown St, Graceville, FL 32440-1007 | 2017-08-17 |
| 1629192919 | Rudd Family Health Care Inc | Clinic/Center | 5517 College Dr, Graceville, FL 32440-1307 | 2007-03-19 |
| 1609072644 | Jackson County Senior Citizens, Inc. | Case Management | 5400 Cliff St, Graceville, FL 32440-1732 | 2007-06-26 |
| Find all providers in zip 32440 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982673620 | Graceville Health Center | General Acute Care Hospital | 115 W 2nd St, Graceville, MN 56240-4803 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952850828 | Tanya Kischa Bethel-hall | General Acute Care Hospital | 3094 Nw 72nd Ave, Margate, FL 33063-7878 | 2016-10-03 |
| 1033663752 | Uf Health | General Acute Care Hospital | 3529 Nw 42nd Ter, Gainesville, FL 32606-8131 | 2016-08-10 |
| 1902103583 | Lee Memorial | General Acute Care Hospital | 13681 Doctors Way Ste 16043, Fort Myers, FL 33912-4300 | 2011-02-17 |
| 1477871069 | Jackson Memorial Hospital | General Acute Care Hospital | 4304 E Whitewater Ave, Weston, FL 33332-2409 | 2010-05-07 |
| 1194953828 | Mount Sinai Medical Center | General Acute Care Hospital | 14700 Ne 9th Ave, Miami, FL 33161-2316 | 2009-07-01 |
| 1518157551 | Malcom Randall Va Medical Center | General Acute Care Hospital | 1601 S.w Archer Road, Gainesville, FL 32608-1135 | 2007-07-26 |
| 1720288921 | Joanne Lynn Brousseau | General Acute Care Hospital | 221 6th Ave S Apt E, Jacksonville, FL 32250-6664 | 2007-07-25 |
| 1306046131 | Jackson Hospital | General Acute Care Hospital | 10730 Sw 30th Pl, Davie, FL 33328-1536 | 2007-07-19 |
| 1649480146 | St Mary Surgical Inc | General Acute Care Hospital | 5343 59th Circle West, Kenneth City, FL 33709 | 2007-05-23 |
| 1477618387 | Department of Va, Miami Va Health Care | General Acute Care Hospital | 12530 Ne 1st, Miami, FL 33161 | 2006-12-22 |
| Find all providers with the same taxonomy | ||||
| City | GRACEVILLE |
| Zip Code | 32440 |
Please comment or provide details below to improve the information on CAMPBELLTON-GRACEVILLE HOSPITAL.
| 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.