GRACEVILLE MEDICAL CLINIC - NPI 1942348040 - Family Medicine in Graceville, FL

Q: What is Campbellton-Graceville Hospital's NPI number?

The NPI number for Campbellton-Graceville Hospital is 1942348040. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider is doing business as Graceville Medical Clinic.

Q: What is Campbellton-Graceville Hospital's specialty?

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

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About Graceville Medical Clinic NPPES

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

GRACEVILLE MEDICAL CLINIC (NPI 1942348040) is a healthcare organization registered as a family medicine in Graceville, Florida and active in the NPI registry since February 2007. The organization lists Dena R Cooper, Controller, as its authorized official.

NPPES Registry Identity

NPI1942348040

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCAMPBELLTON-GRACEVILLE HOSPITAL

Location Address5429 COLLEGE DRGraceville, FL 32440-1857

Mailing Address5470 College DrGraceville, FL 32440-1304 · (850) 263-2459 · Fax (850) 263-3312

Phone(850) 263-4431

Fax(850) 263-3312

Organization SubpartYes

Authorized OfficialDena R CooperController · (850) 263-4431

Enumeration DateFebruary 1, 2007

Last NPPES UpdateJuly 14, 2008

✔ NPI 1942348040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME90551

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.

5429 COLLEGE DR, Graceville, FL 32440

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Other Names 1

Doing Business AsGraceville Medical Clinic

Other Identifiers 1

Medicaid060622701FL

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 7

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

JOHN BYRD

Internal Medicine