1528042884 NPI number — BAPTIST HOSPITAL OF MIAMI INC

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528042884 NPI number — BAPTIST HOSPITAL OF MIAMI INC

Employer Identification Number (EIN):

Provider Organization Name:

BAPTIST HOSPITAL OF MIAMI 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 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:

1528042884

Entity Type Code:

Organization

Replacement NPI:

Last Update Date:

04/27/2024

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

6855 S RED RD STE 600

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

SOUTH MIAMI

Provider Business Mailing Address State Name:

FL

Provider Business Mailing Address Postal Code:

33143-3518

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

786-662-7980

Provider Business Mailing Address Fax Number:

786-533-9403

Provider First Line Business Practice Location Address:

8900 N KENDALL DR

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

MIAMI

Provider Business Practice Location Address State Name:

FL

Provider Business Practice Location Address Postal Code:

33176-2118

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

347-757-5978

Provider Business Practice Location Address Fax Number:

941-275-6355

Provider Enumeration Date:

11/30/2005

Authorized Official Last Name:

ULBRICHT

Authorized Official First Name:

WILLIAM

Authorized Official Middle Name:

G

Authorized Official Title or Position:

CEO

Authorized Official Telephone Number:

786-596-5002

• Taxonomy code: 273Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 282N00000X , with the licence number: 4085 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 010035800 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
• Identifier: 1496 . This is a "MEDICA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 9210 . This is a "AVMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 241 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 389811 . This is a "UNITED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 6200820 . This is a "AETNA NON HMO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 50-02062 . This is a "UNITED MEDICARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 7183 . This is a "AETNA HMO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: F0003891101 . This is a "NEIGHBORHOOD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
• Identifier: 010035800 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".