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).
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. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | 4436 | FL | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 010187700 | 05 |
Other Name | Type Code |
---|---|
AdventHealth DeLand | Doing Business As Name - Organization |
Florida Hospital DeLand | Doing Business As Name - Organization |
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 |
Street Address |
701 W. PLYMOUTH AVENUE |
City | DELAND |
State | FL |
Zip Code | 32720-3236 |
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 |
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 |
Find all providers in zip 32720 |
Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
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. |
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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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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.