MEMORIAL HEALTH SYSTEMS INC (NPI# 1063426823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063426823 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH SYSTEMS INC |
| Other Organization Name | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| Practice Address |
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167 |
| Mailing Address |
770 W Granada Blvd Ste 203 Ormond Beach FL 32174-5179 |
| Practice Telephone | 3862316000 |
| Practice Fax Number | 3862313919 |
| Mailing Telephone | 3862314610 |
| Mailing Fax Number | 3866762560 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-02-07 |
| Authorized Official Name | CULLY CHAPMAN (CFO) |
| Authorized Official Telephone | 3862316000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 4201 | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA PPO | 1063426823 | 01 |
| FL | UHC | 1063426823 | 01 |
| FL | BLUE CROSS | 334 | 01 |
| FL | AETNA HMO | 1063426823 | 01 |
| FL | 010186900 | 05 |
| Other Name | Type Code |
|---|---|
| AdventHealth Daytona Beach | Doing Business As Name - Organization |
| Florida Hospital Memorial Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275640997 | Memorial Health Systems Inc | Family Medicine | 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164-5999 | 2006-08-25 |
| 1922115914 | Memorial Health Systems Inc | Radiology | 305 Memorial Medical Pkwy Ste 205, Daytona Beach, FL 32117-5169 | 2006-08-24 |
| 1598860108 | Memorial Health Systems Inc | Rehabilitation Unit | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2006-09-14 |
| 1720195449 | Memorial Health Systems Inc | Internal Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| 1548377260 | Memorial Health Systems Inc | Family Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| 1366559080 | Memorial Health Systems Inc | Family Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| Street Address |
301 MEMORIAL MEDICAL PKWY |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588788 | Kathleen Ann Williams | Internal Medicine | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2005-12-14 |
| 1790385029 | James Edward Collie | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-10-27 |
| 1568077501 | Christian H Schadt | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-09-15 |
| 1982220620 | Olatoun Okediji | Social Worker | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-06-18 |
| 1962038554 | Maria Clea Dulay | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1659907244 | Lisa Wisniewski | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1386287506 | Kristin Warner | Registered Nurse | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-21 |
| 1841832797 | Morgan Nicole Miles | Hospitalist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-11 |
| 1508329780 | Samantha Snowden | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-13 |
| 1114489812 | Lindsay Schneider | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942690748 | Khawla Amawi | General Acute Care Hospital | 1110 Bel Aire Dr, Daytona Beach, FL 32118-3637 | 2015-01-31 |
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| 1962053728 | Optimum Care Medical Group | General Acute Care Hospital | 10520 Alcon Blue Dr, Riverview, FL 33578-4116 | 2019-09-24 |
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| 1437652500 | Physicians On Call I Corp | General Acute Care Hospital | 10081 Pines Blvd Ste B, Pembroke Pines, FL 33024-6171 | 2018-03-14 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| 1659803435 | Palmetto General Hosptial | General Acute Care Hospital | 2001 West 68th St, Suite 202, Hialeah, FL 33016 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.