1689621450 NPI number — OSCEOLA REGIONAL HOSPITAL, INC.

Table of content: (NPI 1689621450)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689621450 NPI number — OSCEOLA REGIONAL HOSPITAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OSCEOLA REGIONAL HOSPITAL, INC.
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 OSCEOLA 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:
1689621450
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/09/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 W OAK ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KISSIMMEE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34741-4924
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-846-2266
Provider Business Mailing Address Fax Number:
407-518-3616

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 W OAK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KISSIMMEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34741-4924
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-846-2266
Provider Business Practice Location Address Fax Number:
407-518-3616
Provider Enumeration Date:
05/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BIGGAR
Authorized Official First Name:
CARRIE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
407-518-3603

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: 001574740003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100697350A , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7205163 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: HOS0110N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: HS42IP , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 13888706 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200163940 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 67320 . This is a "AMERIGROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 95019337 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100110 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0235650 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108699302 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30-3219885 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000621717X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0100110 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01291962 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 089008 . This is a "AVMED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1189268 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 136670105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1765961 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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