1447298542 NPI number — FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447298542 NPI number — FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES
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:
Provider Other Organization Name Type Code:
6
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:
1447298542
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/25/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3857 RELIABLE PARKWAY
Provider Second Line Business Mailing Address:
FLOYD MEMORIAL HOSP & HEALTH SVC URGENT CARE CTR C RD
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60686-0038
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-949-5482
Provider Business Mailing Address Fax Number:
812-949-5966

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5130 CHARLESTOWN ROAD SUITE 2
Provider Second Line Business Practice Location Address:
FLOYD MEMORIAL HOSP & HEALTH SVC URGENT CARE CTR C RD
Provider Business Practice Location Address City Name:
NEW ALBANY
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47150-9483
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-949-1577
Provider Business Practice Location Address Fax Number:
812-949-1681
Provider Enumeration Date:
06/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MILLER
Authorized Official First Name:
EDWARD
Authorized Official Middle Name:
W.
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
812-949-5500

Provider Taxonomy Codes

  • Taxonomy code: 261QU0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 100380790B , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".