1528014669 NPI number — PALMS WEST HOSPITAL LIMITED PARTNERSHIP

Table of content: (NPI 1528014669)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528014669 NPI number — PALMS WEST HOSPITAL LIMITED PARTNERSHIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PALMS WEST HOSPITAL LIMITED PARTNERSHIP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HCA FLORIDA PALMS WEST HOSPITAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528014669
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/30/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13001 SOUTHERN BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOXAHATCHEE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33470-9203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-798-3300
Provider Business Mailing Address Fax Number:
561-791-8108

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13001 SOUTHERN BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOXAHATCHEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33470-9203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-798-3300
Provider Business Practice Location Address Fax Number:
561-791-8108
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
ONEL
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
561-798-3300

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 63555 . This is a "AMERIGROUP" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 95017612 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000868062X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 070028 . This is a "AVMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 12026000 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 292 . This is a "BLUE CROSS/HOPT" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 012026000 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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