Provider Demographics
NPI:1275305013
Name:TAMPA GENERAL HOSPITAL HERNANDO, LLC
Entity Type:Organization
Organization Name:TAMPA GENERAL HOSPITAL HERNANDO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP CHIEF FINANCIAL OFCR FHSC
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:RUNYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-844-4805
Mailing Address - Street 1:10461 QUALITY DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-9634
Mailing Address - Country:US
Mailing Address - Phone:352-688-8200
Mailing Address - Fax:
Practice Address - Street 1:10461 QUALITY DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-9634
Practice Address - Country:US
Practice Address - Phone:352-688-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAMPA GENERAL HOSPITAL HERNANDO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital