DOCTORS MEMORIAL HOSPITAL INC (NPI# 1487613121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487613121 |
| Entity Type | Organization |
| Organization Name | DOCTORS MEMORIAL HOSPITAL INC |
| Other Organization Name | DMH FAMILY MEDICINE |
| Practice Address |
113 E Main St Mayo FL 32066-4808 |
| Mailing Address |
117 Sw Virginia Cir Mayo FL 32066-4065 |
| Practice Telephone | 3862942475 |
| Practice Fax Number | 3862942478 |
| Mailing Telephone | 3862942475 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MS. KAREN TIDWELL (CLINIC MANAGER) |
| Authorized Official Telephone | 8502235409 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
660123500 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 24274C | 01 | |
| CLIA | 10D0961929 | 01 | |
| FL | 660123500 | 05 |
| Other Name | Type Code |
|---|---|
| DMH Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275616328 | Doctors Memorial Hospital Inc | Home Health | 1209 N Center St, Perry, FL 32347-2037 | 2006-10-23 |
| 1306060298 | Doctors Memorial Hospital Inc | Radiology | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 | 2007-04-12 |
| 1285709451 | Doctors Memorial Hospital Inc | Family Medicine | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 | 2006-11-22 |
| 1245316132 | Doctors Memorial Hospital Inc | Ambulance | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 | 2006-10-31 |
| 1427092006 | Doctors Memorial Hospital Inc | General Acute Care Hospital | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 | 2006-06-15 |
| 1790728657 | Doctors Memorial Hospital Inc | Clinic/Center | 402 E Ash St, Perry, FL 32347-2105 | 2006-06-14 |
| 1457399982 | Doctors Memorial Hospital Inc | Clinic/Center | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2006-06-04 |
| 1639117237 | Doctors Memorial Hospital Inc | Clinic/Center | 1211 N Center St, Perry, FL 32347-2037 | 2006-06-04 |
| Street Address |
113 E MAIN ST |
| City | MAYO |
| State | FL |
| Zip Code | 32066-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023358199 | Deep Knead Medspa | Massage Therapist | 117 Nw Monroe Ave, Mayo, FL 32066 | 2013-02-26 |
| 1710233770 | Kristen Hurst | Massage Therapist | 136 North Fletcher Avenue, Mayo, FL 32066 | 2012-07-27 |
| 1942406475 | County of Lafayette Office Clerk Board County Commissioners | Ambulance | 136 S.e. Industrial Avenue, Mayo, FL 32066 | 2007-06-22 |
| 1104041904 | Darcy Regina Sawyers | Massage Therapist | 117 Nw Monroe Ave., Mayo, FL 32066 | 2007-04-16 |
| 1275697526 | Lafayette County School Board | Local Education Agency (LEA) | 386 Ne Crawford St, Mayo, FL 32066 | 2006-12-21 |
| 1487674271 | North Florida Pharmacy of Mayo, Inc | Durable Medical Equipment & Medical Supplies | 229 West Main Street/ Box 1510, Mayo, FL 32066 | 2006-07-21 |
| 1538187539 | Mayo Family Pharmacy, Inc. | Pharmacy | 294 W Main St, Suite 1, Mayo, FL 32066 | 2006-07-17 |
| 1972872315 | Chelsea Mcadams | Massage Therapist | 117 Nw Monroe Ave., Mayo, FL 32066 | 2011-12-14 |
| 1649477670 | Vicky Noling | Pharmacist | 229 W Main St, Mayo, FL 32066 | 2007-07-02 |
| 1962569533 | Lafayette County School Board | Local Education Agency (LEA) | 386 Ne Crawford St, Mayo, FL 32066 | 2007-01-03 |
| Find all providers in zip 32066 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 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.