| Tallahassee Memorial Healthcare Inc | |
|
17808 Ne Charlie Johns St Blountstown FL 32424-1052 | |
| (850) 674-4524 | |
| (850) 674-2300 |
| Full Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17808 Ne Charlie Johns St, Blountstown, Florida |
| Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504316259 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Memorial Healthcare Inc 1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 Ph: (850) 431-7021 | Tallahassee Memorial Healthcare Inc 17808 Ne Charlie Johns St Blountstown FL 32424-1052 Ph: (850) 674-4524 |
| NPI Number | 1437108271 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 6103724778 |
|---|---|
| Medicare Enrollment ID | O20100215000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437108271 | NPI | - | NPPES |
| 6600379-00 | Medicaid | FL | |
| 375270403 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Florida) | Primary |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17808 Ne Charlie Johns St, Blountstown, FL 32424 Phone: 850-674-4524 | |
The Medical Center Of Blountstown Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20454 Ne Finley Ave, Blountstown, FL 32424 Phone: 850-674-2221 Fax: 850-674-2121 | |
Panhandle Rural Health & Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20274 Central Ave W, Blountstown, FL 32424 Phone: 850-353-7689 Fax: 850-674-8889 | |
Calhoun-liberty Primary Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20370 Ne Burns Ave, Blountstown, FL 32424 Phone: 850-674-5411 Fax: 850-674-3550 | |
Sonder Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16700 Se Pear St, Blountstown, FL 32424 Phone: 850-718-8170 |