| Tallahassee Memorial Healthcare Inc. | |
|
178 Lasalle Lefall Dr Quincy FL 32351-5278 | |
| (850) 875-3600 | |
| (850) 627-7277 |
| Full Name | Tallahassee Memorial Healthcare Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 178 Lasalle Lefall Dr, Quincy, Florida |
| Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504317021 |
| 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. 178 Lasalle Lefall Dr Quincy FL 32351-5278 Ph: (850) 875-3600 |
| NPI Number | 1811953128 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 6103724778 |
|---|---|
| Medicare Enrollment ID | O20100301000971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811953128 | NPI | - | NPPES |
| 375270401 | Medicaid | FL | |
| 24766C | Other | FL | BCBS GROUP NUMBER |
| 6600379-02 | Medicaid | FL |
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