Provider Demographics
NPI:1184661266
Name:COLUMBIA HOSPITAL PALM BEACHES LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:COLUMBIA HOSPITAL PALM BEACHES LIMITED PARTNERSHIP
Other - Org Name:WEST PALM HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-863-3815
Mailing Address - Street 1:2201 45TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2047
Mailing Address - Country:US
Mailing Address - Phone:561-842-6141
Mailing Address - Fax:561-844-8955
Practice Address - Street 1:2201 45TH ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2047
Practice Address - Country:US
Practice Address - Phone:561-842-6141
Practice Address - Fax:561-844-8955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL72237OtherAMERIGROUP
FL12030800Medicaid
FL070006OtherAVMED
FL283OtherBLUE CROSS/HOPT
NY02266939Medicaid
NY02266939Medicaid