Cleveland Clinic Indian River Hospital

LBN: Indian River Memorial Hospital Inc
Cleveland Clinic Indian River Hospital is an health care organization with primary practice located at 1000 36Th St , Vero Beach FL 32960-4862. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Indian River Memorial Hospital Inc can be contacted via phone (772) 567-4311, or through Longville, Timothy L. via phone (216) 636-7416.

Contact Information

Primary practice address
1000 36Th St Vero Beach FL 32960-4862
Phone: (772) 567-4311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Longville, Timothy L.
Phone: (216) 636-7416

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 4029 Florida
Hospitals / General Acute Care Hospital 282N00000X 4029 Florida

Profile Details

NPI number 1376512988
LBN Legal business name Indian River Memorial Hospital Inc
DBA Doing business as Cleveland Clinic Indian River Hospital
Authorized official Longville, Timothy L.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Feb 1st, 2023 - about last year

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 1376512988 NPPES
Florida Other 309 BLUE CROSS
Florida MEDICAID 010104400 BLUE CROSS

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