Provider Demographics
NPI:1326078288
Name:DELRAY MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:DELRAY MEDICAL CENTER, INC.
Other - Org Name:DELRAY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-495-3100
Mailing Address - Street 1:PO BOX 741211
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-1211
Mailing Address - Country:US
Mailing Address - Phone:561-982-2189
Mailing Address - Fax:561-982-2509
Practice Address - Street 1:5352 LINTON BLVD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6514
Practice Address - Country:US
Practice Address - Phone:561-498-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4439282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
080085OtherHUMANA
990079OtherNEIGHBORHOOD HEALTH PLAN
259929070OtherAETNA US HEALTHCARE (NATI
104065OtherAVMED
233136OtherCOVENTRY HEALTH CARE KANS
NJ4097106Medicaid
100258B000000OtherSECTION 1011
290OtherBCBS OF FLORIDA
FL012009000Medicaid
NJ4097106Medicaid