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DISTRICT HOSPITAL HOLDINGS INC NPI 1801885413


NPI Information

NPI: 1801885413
Provider Name: DISTRICT HOSPITAL HOLDINGS INC

Doing Business As: LAKESIDE MEDICAL CENTER

Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

CLIA Number: 10D0287388

Address:
39200 HOOKER HWY
BELLE GLADE, FL
ZIP 33430
Phone: (561) 996-6571
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DISTRICT HOSPITAL HOLDINGS INC is a rural general acute care hospital in Belle Glade, FL. DISTRICT HOSPITAL HOLDINGS INC NPI is 1801885413. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Medical Center.

The provider's business location address is:

39200 HOOKER HWY
BELLE GLADE, FL
ZIP 33430
Phone: (561) 996-6571
Fax: (561) 996-2898

The provider's authorized official is Darcy J. Davis .
The authorized official title is Ceo and has the following contact phone number (561) 659-1270.

The CLIA number assigned to this NPI record is 10D0287388 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 1/23/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282NR1301XGeneral Acute Care HospitalRural3992FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1227OTHERFLORIDABLUE CROSS
2010144300MEDICAIDFLORIDA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.