1346354677 NPI number — FLORIDA HOSPITAL ZEPHYRHILLS INC

Table of content: (NPI 1346354677)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346354677 NPI number — FLORIDA HOSPITAL ZEPHYRHILLS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FLORIDA HOSPITAL ZEPHYRHILLS 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:
ADVENTHEALTH ZEPHYRHILLS
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:
1346354677
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/18/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7050 GALL BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ZEPHYRHILLS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33541-1347
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-788-0411
Provider Business Mailing Address Fax Number:
813-783-6196

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7050 GALL BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ZEPHYRHILLS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33541-1347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-788-0411
Provider Business Practice Location Address Fax Number:
813-783-6196
Provider Enumeration Date:
08/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIS
Authorized Official First Name:
RYAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
813-779-6201

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  4445 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 10149400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 106178 . This is a "AMERIGROUP" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 615287 . This is a "CCN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 10031540 . This is a "PPONEXT" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 304499 . This is a "STAYWELL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 304499 . This is a "HEALTHEASE PASCO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 6200275 . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: H-6390120 . This is a "MULTIPLAN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 100520 . This is a "AV MED HEALTH PLAN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 304499 . This is a "WELLCARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 60081 . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 533 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 010149400 . 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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