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General NPI Number Information
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NPI Number | 1366431702
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Entity Type | Organization
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Legal Business Name | HOLMES COUNTY HOSPITAL CORP
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 2600 HOSPITAL DRIVE
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City | BONIFAY
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State | FL
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Zip | 32425
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Country | US
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Telephone | 850-547-8015
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Fax | 850-547-8025
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Provider Business Mailing Address
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Address Line | P.O. BOX 188
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City | BONIFAY
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State | FL
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Zip | 32425
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Country | US
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Telephone | 850-547-8015
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Fax | 850-547-8025
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | MRS. JOANN BAKER
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Credential |
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Telephone | 850-547-8001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 4427
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License Number State | FL
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