MEMORIAL HOSPITAL WEST VOLUSIA INC (NPI# 1649367269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649367269 |
| 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 | 2018-12-14 |
| Authorized Official Name | MR. KYLE GLASS (CFO) |
| Authorized Official Telephone | 3869434455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 4436 | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010187700 | 05 | |
| FL | BLUE CROSS | 326 | 01 |
| FL | AETNA PPO | 6200305 | 01 |
| FL | AETNA HMO | 07283 | 01 |
| Other Name | Type Code |
|---|---|
| AdventHealth DeLand | Doing Business As Name - Organization |
| Florida Hospital DeLand | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265529887 | Memorial Hospital West Volusia Inc | Psychiatric Unit | 701 W. Plymouth Avenue, Deland, FL 32720-3236 | 2006-10-06 |
| 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 |
| Street Address |
701 W. PLYMOUTH AVENUE |
| City | DELAND |
| State | FL |
| Zip Code | 32720-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265529887 | Memorial Hospital West Volusia Inc | Psychiatric Unit | 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 | 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. |
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| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1437652500 | Physicians On Call I Corp | General Acute Care Hospital | 10081 Pines Blvd Ste B, Pembroke Pines, FL 33024-6171 | 2018-03-14 |
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| 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.