MADISON COUNTY MEMORIAL HOSPITAL
NPI 1306369657
Internal Medicine - Cardiovascular Disease in Madison, FL

NPI Status: Active since July 19, 2017

Contact Information

224 NW CRANE AVE
MADISON, FL
ZIP 32340
Phone: (850) 973-2271
Fax: (850) 973-2818

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • CLIA Number: 10D0023027
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 04-08-2027

About MADISON COUNTY MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Madison County Memorial Hospital, an internist established in Madison, Florida operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1306369657 assigned on July 2017. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Madison County Memorial Hospital. The authorized official of this NPI record is Jennifer Parks (President)

NPI
1306369657
Provider Legal Name
TALLAHASSEE MEMORIAL HEALTHCARE INC
Other Organization Name
MADISON COUNTY MEMORIAL HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
224 NW CRANE AVE MADISON, FL 32340
Location Phone
(850) 973-2271
Location Fax
(850) 973-2818
Mailing Address
1300 MEDICAL DRIVE BILLING DEPARTMENT TALLAHASSEE, FL 32308
Mailing Phone
(850) 216-0100
Mailing Fax
(850) 973-2818
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2017
Last Update Date
01-09-2025
Code Navigator

An internist like Madison County Memorial Hospital is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER PARKS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(850) 431-6234

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
375270421MEDICAID (05)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0023027
Facility Type
Hospital
Certificate Effective Date
April 09, 2025
Certificate Expiration Date
April 08, 2027
Laboratory Director
DR. SCOTT B. TAYLOR
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Madison County Memorial Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306369657, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 6 + 6 + 1 + 8 + 6 + 1 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1306369657.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

General Acute Care Hospital (Critical Access)
224 NW CRANE AVE
MADISON, FL 32340
Radiology (Diagnostic Radiology)
224 NW CRANE AVE
MADISON, FL 32340
Physician Assistant
224 NW CRANE AVE
MADISON, FL 32340
Emergency Medicine
224 NW CRANE AVE
MADISON, FL 32340
Nurse Practitioner (Family)
224 NW CRANE AVE
MADISON, FL 32340
Clinic/Center (Urgent Care)
224 NW CRANE AVE
MADISON, FL 32340
Emergency Medicine
224 NW CRANE AVE
MADISON, FL 32340

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306369657, enumerated as an "organization" on July 19, 2017.

The provider is located at 224 NW CRANE AVE MADISON, FL 32340 and the phone number is (850) 973-2271.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.