1699721589 NPI number — BAY HOSPITAL, INC

Table of content: (NPI 1699721589)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699721589 NPI number — BAY HOSPITAL, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAY 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:
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:
1699721589
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
449 W 23RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PANAMA CITY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32405-4507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-769-8341
Provider Business Mailing Address Fax Number:
850-747-7107

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
449 W 23RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PANAMA CITY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32405-4507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-769-8341
Provider Business Practice Location Address Fax Number:
850-747-7107
Provider Enumeration Date:
05/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GOODPASTER
Authorized Official First Name:
AMBER
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
850-747-7102

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: 0100242 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100242 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1009729 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10702A , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: HOS0242N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP32728 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00220298 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0171974000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0569648 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100041970A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1002422 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 107876801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 220378 . This is a "AVMED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 437 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01554012 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 11761700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1524390 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1743020 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 209335900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6881203 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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