DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DOCTORS MEMORIAL HOSPITAL INC

MEDICARE: DOCTORS MEMORIAL HOSPITAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center660124300FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110D079975OTHERFLCLIA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457399982
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS MEMORIAL HOSPITAL INC
Provider Business Mailing Address
First Line : 555 N BYRON BUTLER PKWY
Second Line :
City : PERRY
State : FL
Zip : 32347-2315
Country : US
Telephone Number : 850-223-5400
Fax Number : 850-223-5401
Provider Business Practice Location Address
First Line : 555 N BYRON BUTLER PKWY
Second Line :
City : PERRY
State : FL
Zip : 32347-2315
Country : US
Telephone Number : 850-223-5400
Fax Number : 850-223-5401
Authorized Official
Title or Position : CLINIC MANAGER
Name : KAREN TIDWELL
Credential :
Telephone Number : 850-223-5409
Provider Enumeration Date : 06/04/2006
Last Update Date : 11/27/2012

Similar Medicare Providers

1699770545 — BIG BEND OPERATIONS
Practice Location Address:
555 N BYRON BUTLER PKWY
PERRY, FL
32347-2315
Practice Phone: 850-584-2778
Practice Fax: 850-584-2790
1629037197 — DR. GHULAM MOHAMMED MD
Practice Location Address:
555 N BYRON BUTLER PKWY
PERRY, FL
32347-2315
Practice Phone: 850-223-5400
Practice Fax: 850-223-5401
1831149392 — MRS. MARY K WIGGS ARNP
Practice Location Address:
555 N BYRON BUTLER PKWY
PERRY, FL
32347-2315
Practice Phone: 850-223-5409
Practice Fax: 850-223-5402
1558307421 — TIFFANEE ANN PADGETT ARNP
Practice Location Address:
555 N BYRON BUTLER PKWY
PERRY, FL
32347-2315
Practice Phone: 850-584-0600
Practice Fax: 850-584-0602
1457361180 — DR. RAMEL FAILMA MD
Practice Location Address:
555 N BYRON BUTLER PKWY
PERRY, FL
32347-2315
Practice Phone: 850-223-5400
Practice Fax: 850-223-5401
1699887372 — JOEL K SHUGAR MD PA
Practice Location Address:
555 N BYRON BUTLER PKWY
PERRY, FL
32347-2315
Practice Phone: 850-584-2778
Practice Fax: 850-584-2790

Directions to “DOCTORS MEMORIAL HOSPITAL INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.