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DESOTO MEMORIAL HOSPITAL INC NPI 1982719803


NPI Information

NPI: 1982719803
Provider Name: DESOTO MEMORIAL HOSPITAL INC

Doing Business As: DESOTO MEMORIAL HOSPITAL

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

Specialization: Rural

Address:
900 N ROBERTS AVE
ARCADIA, FL
ZIP 34266
Phone: (863) 494-3535
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DESOTO MEMORIAL HOSPITAL INC is a rural general acute care hospital in Arcadia, FL. DESOTO MEMORIAL HOSPITAL INC NPI is 1982719803. The provider is registered as an organization entity type.
The provider Is Doing Business As Desoto Memorial Hospital.

The provider's business location address is:

900 N ROBERTS AVE
ARCADIA, FL
ZIP 34266-765
Phone: (863) 494-3535
Fax: (863) 491-4328

The provider's authorized official is Vincent A Sica .
The authorized official title is Ceo and has the following contact phone number (863) 494-8403.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/12/2010.


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 HospitalRural4218FLORIDAYes

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
1010192300MEDICAIDFLORIDA
299545OTHERFLORIDAMEDICARE
3057132600MEDICAIDFLORIDA
4100175MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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

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