Tallahassee Memorial Healthcare Inc | |
15 Council Moore Rd Crawfordville FL 32327-3117 | |
(850) 926-7105 | |
(850) 926-2034 |
Full Name | Tallahassee Memorial Healthcare Inc |
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Speciality | Clinic/Center |
Location | 15 Council Moore Rd, Crawfordville, Florida |
Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8504316256 |
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 15 Council Moore Rd Crawfordville FL 32327-3117 Ph: (850) 926-7105 |
NPI Number | 1285683045 |
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Provider Enumeration Date | 05/09/2006 |
Last Update Date | 01/28/2019 |
Medicare PECOS PAC ID | 6103724778 |
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Medicare Enrollment ID | O20100310000505 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285683045 | NPI | - | NPPES |
24766H | Other | FL | BCBS GROUP # |
375270406 | Medicaid | FL | |
660037903 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Florida) | Primary |
Florida Department Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Oak St, Crawfordville, FL 32327 Phone: 850-926-3591 Fax: 850-926-2178 | |
Wakulla Urgent Care & Diagnostic Center Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Feli Way, Crawfordville, FL 32327 Phone: 850-926-3140 Fax: 850-926-3163 | |
Wakulla County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Oak St, Crawfordville, FL 32327 Phone: 850-926-3591 Fax: 850-926-1938 | |
Grant Center Hospital Of Ocala Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2382 Crawfordville Hwy, Suite C, Crawfordville, FL 32327 Phone: 850-926-6363 Fax: 850-926-2602 | |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Council Moore Rd, Crawfordville, FL 32327 Phone: 850-926-7105 |