CAMPBELLTON-GRACEVILLE HOSPITAL
NPI 1154373744
Family Medicine in Graceville, FL

Active since May 16, 2006
5429 COLLEGE DR STE B, GRACEVILLE, FL 32440(850) 263-4431(850) 263-3312 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Campbellton-graceville Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMPBELLTON-GRACEVILLE HOSPITAL (NPI 1154373744) is a healthcare organization registered as a family medicine in Graceville, Florida and active in the NPI registry since May 2006. The organization lists Judy Austin, Assistant Administrator, as its authorized official.

NPPES Registry Identity

NPI1154373744
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAMPBELLTON-GRACEVILLE HOSPITAL
Location Address5429 COLLEGE DR STE BGraceville, FL 32440-1859
Mailing Address5429 College DrGraceville, FL 32440-1857 · (850) 263-4431 · Fax (850) 263-3312
Fax(850) 263-3312
Organization SubpartYes
Authorized OfficialJudy AustinAssistant Administrator · (850) 263-4431
Enumeration DateMay 16, 2006
Last NPPES UpdateAugust 9, 2010
NPI 1154373744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · 4172
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4172 (FL)
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 4172 (FL)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 4172 (FL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4172 (FL)
5429 COLLEGE DR STE B, Graceville, FL 32440

Other Identifiers 2

Medicaid060622700FL
Medicare ID-Type Unspecified39529FL · Mcr Phy Grp Prov #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist (Family Health)
5429 COLLEGE DR STE B
GRACEVILLE, FL 32440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Campbellton-Graceville Hospital's NPI number?

The NPI number for Campbellton-Graceville Hospital is 1154373744. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Campbellton-Graceville Hospital located?

Campbellton-Graceville Hospital is located at 5429 College Dr Ste B, Graceville, FL 32440. The listed phone number is (850) 263-4431.

What is Campbellton-Graceville Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Campbellton-Graceville Hospital was last updated on August 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.