Memorial Regional Hospital

LBN: South Broward Hospital District
Memorial Regional Hospital is an health care organization with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, Hospital Units / Psychiatric Unit, Hospital Units / Rehabilitation Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. South Broward Hospital District can be contacted via phone (954) 276-5401, or through Burns, Melissa Ann via phone (954) 276-5401.

Contact Information

Primary practice address
3501 Johnson St Hollywood FL 33021-5421
Phone: (954) 276-5401
Fax: (954) 602-2850
Website:
Map and Directions
Authorized official contact:
Name: Burns, Melissa Ann
Phone: (954) 276-5401

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X
Hospital Units / Psychiatric Unit 273R00000X
Hospital Units / Rehabilitation Unit 273Y00000X
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1780667923
LBN Legal business name South Broward Hospital District
DBA Doing business as Memorial Regional Hospital
Authorized official Burns, Melissa Ann
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2005
Last updated Aug 12th, 2022 - 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 1780667923 NPPES
Florida MEDICAID 038184507
Florida MEDICAID 360345801
Florida MEDICAID 360345800
Florida MEDICAID 010020000
Florida MEDICAID 038184512
Florida MEDICAID 038184519
Florida MEDICAID 038184520

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