MEMORIAL HOSPITAL WEST VOLUSIA INC


Address: 701 W. Plymouth Avenue, Deland, FL 32720-3236
Phone: 3869434522

MEMORIAL HOSPITAL WEST VOLUSIA INC (NPI# 1265529887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265529887
Entity Type Organization
Organization Name MEMORIAL HOSPITAL WEST VOLUSIA INC
Other Organization Name ADVENTHEALTH DELAND
Practice Address 701 W. Plymouth Avenue
Deland
FL 32720-3236
Practice Telephone 3869434522
Practice Fax Number 3869433674
Mailing Telephone 3869434522
Mailing Fax Number 3869433674
Enumeration Date 2006-10-06
Last Update Date 2019-01-31
Authorized Official Name KYLE GLASS (CFO)
Authorized Official Telephone 3869434455
Is Organization Subpart Y
Parent Organization Name MEMORIAL HOSPITAL-WEST VOLUSIA INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit 4436 FL Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
FL 010187700 05

Other Provider/Organization Names

Other Name Type Code
AdventHealth DeLand Doing Business As Name - Organization
Florida Hospital DeLand Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568728608 Memorial Hospital West Volusia Inc Clinic/Center 701 W Plymouth Ave, Deland, FL 32720-3236 2012-04-03
1669639415 Memorial Hospital West Volusia Inc Clinic/Center 701 W Plymouth Ave, Deland, FL 32720-3236 2008-05-20
1649367269 Memorial Hospital West Volusia Inc General Acute Care Hospital 701 W. Plymouth Avenue, Deland, FL 32720-3236 2006-10-06

Office Location

Street Address 701 W. PLYMOUTH AVENUE
City DELAND
State FL
Zip Code 32720-3236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649367269 Memorial Hospital West Volusia Inc General Acute Care Hospital 701 W. Plymouth Avenue, Deland, FL 32720-3236 2006-10-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679171532 Kimberlee C Del Campo Nurse Practitioner 1590 S, State Highway 15a, Deland, FL 32720 2020-10-13
1699304840 Grace Haven LLC In Home Supportive Care 805 S Stone St, Deland, FL 32720 2020-04-08
1609407766 Michelle Rene' Tutt Nurse Practitioner 1590 South State Hwy 15a, Deland, FL 32720 2020-01-28
1902448715 Volusia Medical Center LLC Family Medicine 850 N. Stone Street, Deland, FL 32720 2019-10-14
1548748957 Christopher Lee Paik Internal Medicine 107 N Stone St, St A, Deland, FL 32720 2018-07-30
1164961041 Melissa Sorensen Counselor 970 N Spring Ave, 523, Deland, FL 32720 2017-02-13
1669910329 Stefanie Briann Yockey Counselor 804 N. Woodland Blvd., Deland, FL 32720 2017-02-02
1144648809 Steven Shinn Internal Medicine 1590 S Sr 15a Ste 100, Deland, FL 32720 2014-03-31
1164843710 Malgorzata Anna Szelwach Occupational Therapist 1590 State Rt 15a Suite B, Deland, FL 32720 2013-12-29
1730510926 Adriana Marquez Community/Behavioral Health 33218 Tomahawk Trail, Deland, FL 32720 2013-12-12
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760810550 Vipsych Pllc Psychiatric Unit 5895 Lake Melrose Dr, Orlando, FL 32829-7690 2013-10-15
1154687382 Lee Care, Inc. Psychiatric Unit 833 Eisenhower Blvd, Lehigh Acres, FL 33974-3603 2012-04-02
1932435187 The Pavilion At Healthpark, LLC Psychiatric Unit 9241 Park Royal Drive, Ft. Myers, FL 33908 2009-10-22
1952634644 Kareen Aristide Psychiatric Unit 851 Nw 151st St, Miami, FL 33169-6103 2009-09-12
1659493476 University of Miami Hospital and Clinics Psychiatric Unit 1475 Nw 12th Ave # C-023a, Miami, FL 33136-1002 2007-04-04
1467527358 Tania M. Holly Psychiatric Unit Uf, Department of Psychiatry 1600 Sw Archer Road, Gainesville, FL 32610 2006-11-24
1457448037 Baptist Hospital Inc. Psychiatric Unit 1101 W Moreno St, Pensacola, FL 32501-2317 2006-10-06
1033211180 Adventist Health System-sunbelt Inc Psychiatric Unit 1210 Us 27 N, Lake Placid, FL 33852-7948 2006-09-01
1063422327 Springbrook Hospital Psychiatric Unit 7007 Grove Rd, Brooksville, FL 34609-8610 2006-08-09
1881632818 St. Joseph's Hospital, Inc. Psychiatric Unit 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6307 2006-06-03
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Competitor

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City DELAND
Zip Code 32720

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Dataset Information

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.

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