Provider Demographics
NPI:1407921455
Name:HOSPITAL OF SOUTH BEACH LLC
Entity Type:Organization
Organization Name:HOSPITAL OF SOUTH BEACH LLC
Other - Org Name:HOSPITAL OF SOUTH BEACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER, VP
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ROURKE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:940-320-8100
Mailing Address - Street 1:2026 W UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-0644
Mailing Address - Country:US
Mailing Address - Phone:940-320-8100
Mailing Address - Fax:940-320-0402
Practice Address - Street 1:630 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-5502
Practice Address - Country:US
Practice Address - Phone:305-538-9418
Practice Address - Fax:305-598-9418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital