Provider Demographics
NPI:1033136858
Name:HEALTH CENTER OF HUDSON INC
Entity Type:Organization
Organization Name:HEALTH CENTER OF HUDSON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-217-2324
Mailing Address - Street 1:7210 BEACON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-1974
Mailing Address - Country:US
Mailing Address - Phone:727-863-1521
Mailing Address - Fax:
Practice Address - Street 1:7210 BEACON WOODS DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-1974
Practice Address - Country:US
Practice Address - Phone:727-863-1521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF1362096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
71-05011OtherEVERCARE/UNITED
219423OtherAMERIGROUP
F00000078OtherQUALITY HEALTH PLANS
28190OtherCARE PLUS
FL022607600Medicaid
FLN69OtherBCBS
163466OtherSTAYWELL
39160OtherVISTA HEALTH PLAN
28190OtherCARE PLUS