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Er Physician Group At Jackson Hospital
Rural Acute Care Hospital in Marianna, Florida
NPI 1407801194

Er Physician Group At Jackson Hospital is a Rural Acute Care Hospital based in Marianna, FL and is specialized in Rural. Er Physician Group At Jackson Hospital practices in Marianna, FL. The NPI Number for Er Physician Group At Jackson Hospital is 1407801194 and holds a License No. (Florida).

The current practice location address for Er Physician Group At Jackson Hospital is 4250 Hospital Dr, Marianna, FL and can be reached out via phone at 850-526-2200 and via fax at 850-718-2649.

Location: 4250 Hospital Dr, Marianna, FL, 32446-1917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407801194
Provider Name
Er Physician Group At Jackson Hospital
Credential
Provider Entity Type
Organization
Address
4250 Hospital Dr, Marianna, FL, 32446-1917
Phone Number
850-526-2200
Fax Number
850-718-2649
Provider Enumeration Date
05/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054877400 05 FL
38679 01 FL BLUE CROSS
CJ6133 01 FL MEDICARE RAIL ROAD
institution
Provider Business Practice Location Address Details
Address
4250 Hospital Dr
City
Marianna
State
Florida
Zip
32446-1917
Phone Number
850-526-2200
Fax Number
850-718-2649
person
Provider Business Mailing Address Details
Address
4250 Hospital Dr
City
Marianna
State
Florida
Zip
32446-1917
Phone Number
850-526-2200
Fax Number
850-718-2649
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3999 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Rural
Taxonomy
282NR1301X
License No.
()
Definition
Definition to come...
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