| Tallahassee Memorial Healthcare Inc | |
|
15 Council Moore Rd Crawfordville FL 32327-3117 | |
| (850) 926-7105 | |
| (850) 926-2034 |
| Full Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Council Moore Rd, Crawfordville, Florida |
| Authorized Official Name and Position | Jennifer Parks (PRESIDENT) |
| Authorized Official Contact | 8504316234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Memorial Healthcare Inc 1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 Ph: (850) 431-7021 | Tallahassee Memorial Healthcare Inc 15 Council Moore Rd Crawfordville FL 32327-3117 Ph: (850) 926-7105 |
| NPI Number | 1285683045 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 01/09/2025 |
| Medicare PECOS PAC ID | 6103724778 |
|---|---|
| Medicare Enrollment ID | O20100310000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285683045 | NPI | - | NPPES |
| 24766H | Other | FL | BCBS GROUP # |
| 375270406 | Medicaid | FL | |
| 660037903 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Florida) | Primary |
Wakulla County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Oak St, Crawfordville, FL 32327 Phone: 850-926-3591 Fax: 850-926-2178 | |
Wakulla Urgent Care & Diagnostic Center Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Feli Way, Crawfordville, FL 32327 Phone: 850-926-3140 Fax: 850-926-3163 | |
Coastal Rehabilitation And Treatment Services. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3295 Crawfordville Hwy, Crawfordville, FL 32327 Phone: 850-566-0037 Fax: 850-697-3891 | |
Wakulla Urgent Care & Diagnostic Center Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 Feli Way, Crawfordville, FL 32327 Phone: 850-926-3140 Fax: 850-926-3163 | |
Wakulla County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Oak St, Crawfordville, FL 32327 Phone: 850-926-3591 Fax: 850-926-1938 | |
Panhandle Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 92 Pimlico Dr, Crawfordville, FL 32327 Phone: 850-879-0759 |