Organization · Type 2 NPI

Er Physician Group at Jackson Hospital

Multi-Specialty Clinic/Center · Alford, FL

NPI number 1356917892 Active

Practice location

1798 Georgia St
Alford, FL 32420-6800

Call (850) 526-6727 Map

Fax (850) 526-1027

Mailing address

4250 Hospital Dr
Marianna, FL 32446-1917

Specialties and licenses

Taxonomy	Code	License
General Practice Physician	208D00000X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

Kristin G. Fenton, A.R.N.P.Adult Health Nurse Practitioner Alford, FL NPI 1508379751
Trisha Leanna Jones, APRNFamily Nurse Practitioner Alford, FL NPI 1568120046

NPI record

NPI: 1356917892
Entity type: Organization (Type 2)
Issued: Jun 3, 2021
Last updated: Jan 16, 2023
Status: Active
Subpart: Yes of Er Physician Group at Jackson Hospital

Other names

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Chipola Quick Care Alford & Primary Care · doing business as

Authorized official

Margaret Carter
Payer Credentialing Coordinator
(850) 718-2531

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356917892

Er Physician Group at Jackson Hospital's National Provider Identifier is 1356917892, issued on Jun 3, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Alford, FL. The record was last updated on Jan 16, 2023.