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FAWCETT MEMORIAL HOSPITAL INC. NPI 1417901406


NPI Information

NPI: 1417901406
Provider Name: FAWCETT MEMORIAL HOSPITAL, INC.

Doing Business As: HCA FLORIDA FAWCETT HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 10D0874526

Address:
21298 OLEAN BLVD
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 629-1181
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FAWCETT MEMORIAL HOSPITAL, INC. is a general acute care hospital in Port Charlotte, 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. FAWCETT MEMORIAL HOSPITAL, INC. NPI is 1417901406. The provider is registered as an organization entity type.
The provider Is Doing Business As Hca Florida Fawcett Hospital.

The provider's business location address is:

21298 OLEAN BLVD
PORT CHARLOTTE, FL
ZIP 33952-705
Phone: (941) 629-1181
Fax: (941) 627-6142

The provider's authorized official is Vickie Magurean .
The authorized official title is Cfo and has the following contact phone number (941) 624-8122.

The CLIA number assigned to this NPI record is 10D0874526 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 3/30/2022.


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
1282N00000XGeneral Acute Care HospitalYes

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
10007175OTHERAETNA
211643BMEDICAIDSOUTH CAROLINA
320320OTHERWELLCARE/STAYWELL
4571OTHERFLORIDABLUE CROSS
5000616569XMEDICAIDGEORGIA
6011746300MEDICAIDFLORIDA
70968672MEDICAIDOHIO
8000035953OTHERFLORIDAHUMANA
9304862874MEDICAIDMICHIGAN
10HLFL0102MEDICAIDMICHIGAN
1101608460MEDICAIDNEW YORK
12032064700OTHERBLACK LUNG
1320320OTHERGEORGIAWELLCARE

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

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.