MEMORIAL HOSPITAL FLAGLER INC (NPI# 1679678486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679678486 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL FLAGLER INC |
| Other Organization Name | ADVENTHEALTH PALM COAST |
| Practice Address |
60 Memorial Medical Pkwy Palm Coast FL 32164-5980 |
| Mailing Address |
770 W Granada Blvd Ste 203 Ormond Beach FL 32174-5179 |
| Practice Telephone | 3865862000 |
| Practice Fax Number | 3865864620 |
| Mailing Telephone | 3863124252 |
| Mailing Fax Number | 3866762560 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | MR. CORY DOMAYER (CFO) |
| Authorized Official Telephone | 3865864200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 4465 | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA HMO | 59387 | 01 |
| FL | 010189300 | 05 | |
| FL | UHC | 5000093 | 01 |
| FL | BLUE CROSS | 323 | 01 |
| FL | AETNA PPO | 6200175 | 01 |
| Other Name | Type Code |
|---|---|
| AdventHealth Palm Coast | Doing Business As Name - Organization |
| Florida Hospital Flagler | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801990429 | Memorial Hospital Flagler Inc | Hospice, Inpatient | 770 W Granada Blvd Ste 304, Ormond Beach, FL 32174-5180 | 2006-09-12 |
| 1134161318 | Memorial Hospital Flagler Inc | Home Health | 770 W Granada Blvd Ste 319, Ormond Beach, FL 32174-5180 | 2006-06-12 |
| Street Address |
60 MEMORIAL MEDICAL PKWY |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-5980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518926021 | Divya Pingle | Internal Medicine | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2006-03-22 |
| 1497392260 | Joanna Lynn Nightingale | Nurse Practitioner | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2019-11-29 |
| 1942841804 | Tracie L. Jones | Nurse Practitioner | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2019-10-02 |
| 1912554080 | Brigette Lilliana Genovese | Physical Therapy Assistant | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2019-08-22 |
| 1104473586 | Lauren New | Physical Therapist | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2019-08-21 |
| 1740633635 | Sound Physicians of Florida Iv, LLC | Hospitalist | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2016-07-15 |
| 1760873400 | Hardik Patel | Internal Medicine | 60 Memorial Medical Pkwy, Palm Coast, FL 32164 | 2015-02-17 |
| 1144630500 | Sandra Flanagan Shugart | Pharmacist | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2014-05-06 |
| 1093139677 | Shelly Edens | Dietitian, Registered | 60 Memorial Medical Pkwy, Food and Nutrition Department, Palm Coast, FL 32164-5980 | 2014-02-18 |
| 1942624721 | Emergency Medicine Professionals Pa | Emergency Medicine | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2014-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| 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 |
|---|---|---|---|---|
| 1851789747 | Florida Hospital Flagler | General Acute Care Hospital | 61 Memorial Medical Pkwy Ste 3815, Palm Coast, FL 32164-5982 | 2014-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193664 | Central Florida Health Services, LLC | General Acute Care Hospital | 6700 Lake Nona Blvd, Orlando, FL 32827-7729 | 2020-10-29 |
| 1639783509 | Public Health Trust of Miami Dade County Florida | General Acute Care Hospital | 2801 Nw 79th Ave, Doral, FL 33122-1174 | 2020-09-08 |
| 1013534445 | Sarasota Memorial Hospital | General Acute Care Hospital | 2600 Laurel Rd E, North Venice, FL 34275-3226 | 2020-07-01 |
| 1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
| 1184246894 | Zbeiro Corp | General Acute Care Hospital | 13952 Sw 52nd Ln, Miami, FL 33175-5166 | 2020-05-15 |
| 1962053728 | Optimum Care Medical Group | General Acute Care Hospital | 10520 Alcon Blue Dr, Riverview, FL 33578-4116 | 2019-09-24 |
| 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 |
| 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 | PALM COAST |
| Zip Code | 32164 |
Please comment or provide details below to improve the information on MEMORIAL HOSPITAL FLAGLER INC.
| 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.