SUN CITY HOSPITAL INC

Provider Demographics

• NPI: 1164476867
• Name: SUN CITY HOSPITAL INC
• Entity Type: Organization
• Organization Name: SUN CITY HOSPITAL INC
• Other - Org Name: HCA FLORIDA SOUTH SHORE HOSPITAL
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: JAMES
• Authorized Official - Middle Name: C
• Authorized Official - Last Name: CONN
• Authorized Official - Phone: 813-634-3301
• Mailing Address - Street 1: 4016 SUN CITY CENTER BLVD
• Mailing Address - City: SUN CITY CENTER
• Mailing Address - State: FL
• Mailing Address - Zip Code: 33573-5256
• Mailing Address - Country: US
• Mailing Address - Phone: 813-634-3301
• Mailing Address - Fax: 813-634-8712
• Practice Address - Street 1: 4016 STATE ROAD 674
• Practice Address - City: SUN CITY CENTER
• Practice Address - State: FL
• Practice Address - Zip Code: 33573-5256
• Practice Address - Country: US
• Practice Address - Phone: 813-634-3301
• Practice Address - Fax: 813-634-8712
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-19
• Last Update Date: 2023-01-25

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital

Provider Identifiers

State	Identifier ID	ID Type	Issuer
SC	11639B	Medicaid
FL	580	Other	BLUE CROSS
	0068900	Other	AETNA
PA	30021737	Other	KEYSTONE MERCY
FL	000037941	Other	HUMANA
GA	000810774X	Medicaid
FL	011994600	Medicaid
NY	01344325	Medicaid
	031149000	Other	BLACK LUNG
MI	304862776	Medicaid
GA	20670	Other	WELLCARE
AL	0259N	Medicaid
	20670	Other	WELLCARE/STAYWELL
GA	88409	Other	AMERIGROUP
OH	960107	Medicaid
IL	000000037680	Medicaid
MI	404862785	Medicaid
TN	99605	Medicaid
FL	011994600	Medicaid