1326085424 NPI number — JFK MEDICAL CENTER LIMITED PARTNERSHIP

Table of content: (NPI 1326085424)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326085424 NPI number — JFK MEDICAL CENTER LIMITED PARTNERSHIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JFK MEDICAL CENTER 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 JFK 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:
1326085424
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5301 S CONGRESS AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTIS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33462-1149
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-965-7300
Provider Business Mailing Address Fax Number:
561-642-3685

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5301 S CONGRESS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLANTIS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33462-1149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-965-7300
Provider Business Practice Location Address Fax Number:
561-642-3685
Provider Enumeration Date:
05/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHLEMMER
Authorized Official First Name:
TOM
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
561-548-3510

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: 0082815 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 070013 . This is a "AVMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1507066 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 256 . This is a "BLUE CROSS/HOPT" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 10146000 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 86708 . This is a "AMERIGROUP" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 010146000 . 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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