Florida Hospital Hospice Care

LBN: Memorial Hospital Flagler Inc
Florida Hospital Hospice Care is an health care organization with primary practice located at 770 W Granada Blvd Ste 304 , Ormond Beach FL 32174-5180. The organization recently has 2 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Nursing & Custodial Care Facilities / Hospice, Inpatient. Agencies / Hospice Care, Community Based is the primary health care specialty. Memorial Hospital Flagler Inc can be contacted via phone (386) 671-2138, or through Rathbun, Mark Douglas via phone (386) 586-4301.

Contact Information

Primary practice address
770 W Granada Blvd Ste 304 Ormond Beach FL 32174-5180
Phone: (386) 671-2138
Fax: (386) 672-0314
Website:
Map and Directions
Authorized official contact:
Name: Rathbun, Mark Douglas
Phone: (386) 586-4301

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X
Nursing & Custodial Care Facilities / Hospice, Inpatient 315D00000X 5039096 Florida

Profile Details

NPI number 1801990429
LBN Legal business name Memorial Hospital Flagler Inc
DBA Doing business as Florida Hospital Hospice Care
Authorized official Rathbun, Mark Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Nov 19th, 2020 - about 5 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 1801990429 NPPES
Florida MEDICAID 150003100
Florida Other 592951991010
Florida Other U38

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