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General NPI Number Information
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NPI Number | 1225328016
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Entity Type | Organization
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Legal Business Name | BAY MEDICAL CENTER
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 615 N BONITA AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-3623
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Country | US
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Telephone | 850-747-2023
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Fax |
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Provider Business Mailing Address
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Address Line | 605 PENNSYLVANIA AVE
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City | LYNN HAVEN
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State | FL
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Zip | 32444-1841
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Country | US
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Telephone | 850-481-5478
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. PATRICIA ANDERSON
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Credential | M.D.
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Telephone | 850-747-2021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | ARNP3408672
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License Number State | FL
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