Halifax Medical Center

LBN: Halifax Hospital Medical Center
Halifax Medical Center is an health care organization with primary practice located at 303 N Clyde Morris Blvd , Daytona Beach FL 32114-2709. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Hospital Units / Psychiatric Unit, Hospital Units / Rehabilitation Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Halifax Hospital Medical Center can be contacted via phone (386) 254-4000, or through Peburn, Eric M via phone (386) 425-4568.

Contact Information

Primary practice address
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709
Phone: (386) 254-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peburn, Eric M
Phone: (386) 425-4568

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 4181 Florida
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 4181 Florida
Hospital Units / Psychiatric Unit 273R00000X 4181 Florida
Hospital Units / Rehabilitation Unit 273Y00000X 4181 Florida
Hospitals / General Acute Care Hospital 282N00000X 4181 Florida

Profile Details

NPI number 1811991227
LBN Legal business name Halifax Hospital Medical Center
DBA Doing business as Halifax Medical Center
Authorized official Peburn, Eric M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Jan 14th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811991227 NPPES
Florida MEDICAID 7614799-00
Florida MEDICAID 0101842-00
Florida MEDICAID 0101842-01
Florida MEDICAID 0299481-00
Florida Other 303
Florida MEDICAID 0101842-04

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