Provider Demographics
NPI:1093437733
Name:BAY HOSPITAL, INC.
Entity Type:Organization
Organization Name:BAY HOSPITAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODPASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-747-7102
Mailing Address - Street 1:449 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4507
Mailing Address - Country:US
Mailing Address - Phone:850-769-8341
Mailing Address - Fax:850-747-7107
Practice Address - Street 1:449 W 23RD ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4507
Practice Address - Country:US
Practice Address - Phone:850-769-8341
Practice Address - Fax:850-747-7107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAY HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit