DOCTORS MEMORIAL HOSPITAL INC (NPI# 1790728657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790728657 |
| Entity Type | Organization |
| Organization Name | DOCTORS MEMORIAL HOSPITAL INC |
| Other Organization Name | DMH INTERNAL MEDICINE |
| Practice Address |
402 E Ash St Perry FL 32347-2105 |
| Mailing Address |
333 N Byron Butler Pkwy Perry FL 32347-2300 |
| Practice Telephone | 8505840600 |
| Practice Fax Number | 5805840602 |
| Mailing Telephone | 8505840609 |
| Mailing Fax Number | 8505840689 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | SARA GRAMBLING (ADMINISTRATOR) |
| Authorized Official Telephone | 8505840609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
660138300 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 10D0961933 | 01 | |
| FL | 660138300 | 05 |
| Other Name | Type Code |
|---|---|
| DMH Internal 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 |
| 1487613121 | Doctors Memorial Hospital Inc | Clinic/Center | 113 E Main St, Mayo, FL 32066-4808 | 2006-03-21 |
| 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 |
| 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 |
402 E ASH ST |
| City | PERRY |
| State | FL |
| Zip Code | 32347-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083652259 | Nunnie Emery | Nurse Practitioner | 402 E Ash St, Perry, FL 32347-2105 | 2006-06-02 |
| 1467757948 | Karen Ronquillo | General Practice | 402 E Ash St, Perry, FL 32347-2105 | 2011-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250764 | Advance Speech and Language Center | Speech-Language Pathologist | 214 North Washington Street, Perry, FL 32347 | 2007-05-03 |
| 1043386865 | Doctors Memorial Hospital | Radiology | Doctors Memorial Hospital, 333 N Byron Butler Parkway, Perry, FL 32347 | 2006-11-24 |
| 1467472282 | Firas A Hamdan | Otolaryngology | 1224 N Peacock Ave, Perry, FL 32347 | 2006-07-21 |
| 1841229333 | Miles V Nelson | Surgery | 1218 N Peacock Ave, Perry, FL 32347 | 2006-06-30 |
| 1679518187 | Diane A Schlick | Family Medicine | 616 S Jefferson Street, Perry, FL 32347 | 2006-06-18 |
| 1609233170 | Rachel Gilliam | Occupational Therapy Assistant | 207 Marshall Dr, Perry, FL 32347 | 2016-01-28 |
| 1184041741 | Pamela Sauls | Family Medicine | 315 E Ash St, Perry, FL 32347 | 2014-03-20 |
| 1356664924 | Jacqueline Bailey | Speech-Language Pathologist | 207 Marshall Dr, Perry, FL 32347 | 2010-03-10 |
| 1831511070 | Rebecca Carroll Wambolt | Speech-Language Pathologist | 1835 Oak Ridge Ln, Perry, FL 32347-0610 | 2014-01-07 |
| 1871130856 | Carestandard Corporation | Family Medicine | 688 A B Murphy Rd, Perry, FL 32347-0810 | 2019-12-09 |
| Find all providers in zip 32347 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225097967 | Doctors Memorial Hospital | Clinic/Center | 1706 S Jefferson St, Perry, FL 32348-5611 | 2006-03-21 |
| 1720561939 | Stillwater Medical Center Authority | Clinic/Center | 505 N 14th St, Perry, OK 73077-5021 | 2018-09-13 |
| 1831342880 | Premier Medical Pediatrics Clinic Inc | Clinic/Center | 315 E Ash St, Perry, FL 32347-2029 | 2008-11-03 |
| 1306920103 | State University of Iowa | Clinic/Center | 616 10th St, Perry, IA 50220-2221 | 2006-10-25 |
| 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 |
| 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.