Healthcare Provider Details

I. General information

NPI: 1457470221
Provider Name (Legal Business Name): TALLAHASSEE MEMORIAL HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 E 6TH AVE
TALLAHASSEE FL
32303-6506
US

IV. Provider business mailing address

1300 MICCOSUKEE RD
TALLAHASSEE FL
32308-5054
US

V. Phone/Fax

Practice location:
  • Phone: 850-431-6838
  • Fax: 850-431-6826
Mailing address:
  • Phone: 850-431-5380
  • Fax: 850-431-5883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK O'BRYANT
Title or Position: CEO
Credential:
Phone: 850-431-5380