DESOTO MEMORIAL HOSPITAL INC (NPI# 1639261175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639261175 |
| Entity Type | Organization |
| Organization Name | DESOTO MEMORIAL HOSPITAL INC |
| Other Organization Name | DESOTO MEMORIAL CENTER FOR FAMILY HEALTH |
| Practice Address |
888 N Roberts Ave Arcadia FL 34266-9580 |
| Practice Telephone | 8634948401 |
| Practice Fax Number | 8634914328 |
| Mailing Telephone | 8634948401 |
| Mailing Fax Number | 8634914328 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-03-28 |
| Authorized Official Name | MR. VINCENT A SICA (CEO) |
| Authorized Official Telephone | 8634948403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
4218 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 252217900 | 05 | |
| FL | MEDICARE | 00746 | 01 |
| FL | 660074300 | 05 |
| Other Name | Type Code |
|---|---|
| DeSoto Memorial Center for Family Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881706257 | Desoto Memorial Hospital Inc | Home Health | 1006 N Mills Ave, Arcadia, FL 34266-8811 | 2006-08-31 |
| 1982719803 | Desoto Memorial Hospital Inc | General Acute Care Hospital | 900 N Roberts Ave, Arcadia, FL 34266-8765 | 2006-08-20 |
| Street Address |
888 N ROBERTS AVE |
| City | ARCADIA |
| State | FL |
| Zip Code | 34266-9580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821374950 | Danelle Lee Thompson | Nurse Practitioner | 888 N Roberts Ave, Arcadia, FL 34266-9580 | 2011-11-03 |
| 1528368792 | Jessica Elaine Smith | Nurse Practitioner | 888 N Roberts Ave, Arcadia, FL 34266-9580 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
| 1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
| 1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
| 1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
| 1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
| 1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
| 1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
| Find all providers in zip 34266 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730672379 | Port Charlotte Hma Physician Management LLC | Clinic/Center | 1012 N Mills Ave, Arcadia, FL 34266-8811 | 2018-06-08 |
| 1972091361 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Clinic/Center | 895 Dettloff Dr, Arcadia, WI 54612-2600 | 2018-05-01 |
| 1639445927 | Willis Medical LLC | Clinic/Center | 600 Factory Outlet Dr, Ste 12, Arcadia, LA 71001-3057 | 2012-03-30 |
| 1992023865 | Desoto County Hospital District | Clinic/Center | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2010-05-17 |
| 1316038441 | Bienville Parish | Clinic/Center | 1175 Pine St, Suite 100, Arcadia, LA 71001-3113 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| Find all providers with the same taxonomy | ||||
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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.