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SOUTH LAKE HOSPITAL INC. NPI 1336221019


NPI Information

NPI: 1336221019
Provider Name: SOUTH LAKE HOSPITAL, INC.
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1900 DON WICKHAM DR
CLERMONT, FL
ZIP 34711
Phone: (352) 394-4071
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SOUTH LAKE HOSPITAL, INC. is a general acute care hospital in Clermont, FL. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. SOUTH LAKE HOSPITAL, INC. NPI is 1336221019. The provider is registered as an organization entity type.

The provider's business location address is:

1900 DON WICKHAM DR
CLERMONT, FL
ZIP 34711-947
Phone: (352) 394-4071

The provider's authorized official is Michele Tynes Napier .
The authorized official title is Chief Revenue Officer and has the following contact phone number (407) 650-3763.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 11/9/2016.


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
1275N00000XMedicare Defined Swing Bed Unit4180FLORIDANo
2282N00000XGeneral Acute Care Hospital4180FLORIDAYes

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
1314OTHERFLORIDABCBS
210U051MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3100051MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
4010108700MEDICAIDFLORIDA
5020022100MEDICAIDFLORIDA

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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