Provider Demographics
NPI:1508810599
Name:ENGLEWOOD COMMUNITY HOSPITAL, INC.
Entity Type:Organization
Organization Name:ENGLEWOOD COMMUNITY HOSPITAL, INC.
Other - Org Name:HCA FLORIDA ENGLEWOOD HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGUREAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-624-8122
Mailing Address - Street 1:700 MEDICAL BLVD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-3964
Mailing Address - Country:US
Mailing Address - Phone:941-475-6571
Mailing Address - Fax:941-473-5015
Practice Address - Street 1:700 MEDICAL BLVD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-3964
Practice Address - Country:US
Practice Address - Phone:941-475-6571
Practice Address - Fax:941-473-5015
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENGLEWOOD COMMUNITY HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-22
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
10U267Medicare Oscar/Certification