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HALIFAX HEALTHCARE SYSTEMS INC NPI 1215978010


NPI Information

NPI: 1215978010
Provider Name: HALIFAX HEALTHCARE SYSTEMS INC

Doing Business As: HHCSI HALIFAX URGENT CARE CLINICS

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 10D2010442

Address:
740 DUNLAWTON AVE
SUITE 100
PORT ORANGE, FL
ZIP 32127
Phone: (386) 947-4680
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HALIFAX HEALTHCARE SYSTEMS INC is an emergency medicine in Port Orange, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. HALIFAX HEALTHCARE SYSTEMS INC NPI is 1215978010. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hhcsi Halifax Urgent Care Clinics.

The provider's business location address is:

740 DUNLAWTON AVE
SUITE 100
PORT ORANGE, FL
ZIP 32127-901
Phone: (386) 947-4680

The provider's authorized official is Arvin Lewis .
The authorized official title is Vppbfs and has the following contact phone number (386) 226-4590.

The CLIA number assigned to this NPI record is 10D2010442 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K0373UMEDICARE OSCAR/CERTIFICATIONFLORIDA
2=========OTHERGROUP TAX ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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