ST. MARY'S MEDICAL CENTER, INC (NPI# 1952333205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952333205 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S MEDICAL CENTER, INC |
| Other Organization Name | ST. MARY'S MEDICAL CENTER |
| Practice Address |
901 45th St West Palm Beach FL 33407-2413 |
| Mailing Address |
Po Box 741191 Atlanta GA 30374-1191 |
| Practice Telephone | 5618446300 |
| Mailing Telephone | 5619822189 |
| Mailing Fax Number | 5618824562 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET) |
| Authorized Official Telephone | 3107758040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 4058 | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| POMCO | 75-2932985 | 01 | |
| PROFESSIONAL BENEFIT SERV | 75-2932993 | 01 | |
| PROTECTIVE LIFE | 75-2932996 | 01 | |
| AETNA US HEALTHCARE | 754204800 | 01 | |
| FL | 010148600 | 05 | |
| HUMANA | 080099 | 01 | |
| SECTION 1011 | 100288B000000 | 01 | |
| PRISON HEALTH SERVICE | 75-2932990 | 01 | |
| NEIGHBORHOOD HEALTH PLAN | 990348 | 01 | |
| PRO AMERICA | 75-2932992 | 01 | |
| ROYAL & SUNALLIANCE | 75-2933001 | 01 | |
| AVMED | 277028 | 01 | |
| AMERIGROUP FLORIDA | 75-2932834 | 01 | |
| SAFECO | 75-2933002 | 01 | |
| PREFERRED HLTH PROVS | 75-2932987 | 01 | |
| RISK MGMT RESOURCES | 75-2932999 | 01 | |
| PROGRESSIVE AMERICAN INSU | 75-2932994 | 01 | |
| PYRAMID BENEFITS | 75-2932998 | 01 |
| Other Name | Type Code |
|---|---|
| St. Mary's Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538193123 | St. Mary's Medical Center, Inc | Rehabilitation Unit | 901 45th St, West Palm Beach, FL 33407-2413 | 2006-07-10 |
| 1447284039 | St. Mary's Medical Center, Inc | Psychiatric Unit | 901 45th St, West Palm Beach, FL 33407-2413 | 2006-07-10 |
| 1356375943 | St. Mary's Medical Center, Inc | Clinic/Center | 901 45th St, West Palm Beach, FL 33407-2413 | 2006-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. MARY'S MEDICAL CENTER, INC. | 2900 First Ave, Huntington, WV 25702-1241 |
| Street Address |
901 45TH ST |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33407-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760308 | David S Feldman | Specialist | 901 45th St, Kimmel Bldg, West Palm Beach, FL 33407-2413 | 2005-06-17 |
| 1427666494 | Catalina Orellana | Registered Nurse | 901 45th St, West Palm Beach, FL 33407-3340 | 2020-07-16 |
| 1043850845 | Alyssa Clarke | Physician Assistant | 901 45th St, Kimmel Bldg, West Palm Beach, FL 33407-2413 | 2020-01-09 |
| 1548808116 | Jason Michael Vollweiler | Physical Therapy Assistant | 901 45th St, Kimmel Bldg, West Palm Beach, FL 33407 | 2019-12-13 |
| 1043879950 | Jessika Lucia Zabala | Student in an Organized Health Care Education/Training Program | 901 45th St, West Palm Beach, FL 33407 | 2019-06-13 |
| 1497318935 | Katelyn Gauger | Physician Assistant | 901 45th St, Kimmel Bldg, West Palm Beach, FL 33407 | 2019-04-19 |
| 1689181067 | Rebekah Jarrar | Occupational Therapist | 901 45th St, West Palm Beach, FL 33407-2413 | 2018-01-07 |
| 1093231656 | Jeff Haffemann | Physical Therapist | 901 45th St, Kimmel Bldg, West Palm Beach, FL 33407-2413 | 2017-08-16 |
| 1033635826 | Jessica Littlejohn | Physical Therapist | 901 45th St, West Palm Beach, FL 33407-2413 | 2017-08-14 |
| 1013449222 | Tonya Graham | Pharmacist | 901 45th St, West Palm Beach, FL 33407-2413 | 2017-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| 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 |
|---|---|---|---|---|
| 1265855837 | Rebecca Wilcox | General Acute Care Hospital | 2007 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6501 | 2014-02-01 |
| 1962714717 | Wellington Regional Medical Center | General Acute Care Hospital | 410 Evernia St, #702, West Palm Beach, FL 33401-5430 | 2010-07-09 |
| 1770515991 | Good Samaritan Medical Center, Inc. | General Acute Care Hospital | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2006-07-07 |
| 1184661266 | Columbia Hospital Palm Beaches Limited Partnership | General Acute Care Hospital | 2201 45th St, West Palm Beach, FL 33407-2047 | 2006-05-31 |
| 1629026323 | Good Samaritan Medical Center | General Acute Care Hospital | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2006-05-04 |
| 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 | WEST PALM BEACH |
| Zip Code | 33407 |
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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.