Provider Demographics
NPI:1528042884
Name:BAPTIST HOSPITAL OF MIAMI INC
Entity Type:Organization
Organization Name:BAPTIST HOSPITAL OF MIAMI INC
Other - Org Name:BAPTIST HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ULBRICHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-662-7111
Mailing Address - Street 1:6855 RED RD
Mailing Address - Street 2:STE 500
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3623
Mailing Address - Country:US
Mailing Address - Phone:786-662-7980
Mailing Address - Fax:786-533-9403
Practice Address - Street 1:8900 N KENDALL DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2118
Practice Address - Country:US
Practice Address - Phone:786-596-1960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
273Y00000X
FL4085282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010035800Medicaid
FL389811OtherUNITED
FL1496OtherMEDICA
FLF0003891101OtherNEIGHBORHOOD
50-02062OtherUNITED MEDICARE
FL9210OtherAVMED
FL241OtherBLUE CROSS BLUE SHIELD
FL6200820OtherAETNA NON HMO
FL7183OtherAETNA HMO
=========OtherDIMENSION
FL241OtherBLUE CROSS BLUE SHIELD
FL7183OtherAETNA HMO
=========OtherBEECH STREET
=========OtherCIGNA
=========OtherCONVENTRY PPO
FL1496OtherMEDICA
FL9210OtherAVMED
=========OtherCORVEL
=========OtherMULTIPLAN
=========OtherFIRST HEALTH
=========OtherHUMANA CHOICE
FL389811OtherUNITED
=========OtherJMH HEALTH PLAN
FL241OtherBLUE CROSS BLUE SHIELD
FL7183OtherAETNA HMO