Provider Demographics
NPI:1568409647
Name:LAWNWOOD MEDICAL CENTER INC
Entity Type:Organization
Organization Name:LAWNWOOD MEDICAL CENTER INC
Other - Org Name:HCA FLORIDA LAWNWOOD HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-468-4500
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34954-0188
Mailing Address - Country:US
Mailing Address - Phone:772-461-4000
Mailing Address - Fax:772-468-4510
Practice Address - Street 1:1700 S 23RD ST
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4803
Practice Address - Country:US
Practice Address - Phone:772-461-4000
Practice Address - Fax:772-468-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000163952XMedicaid
PA01603556Medicaid
NY02198823Medicaid
FL287OtherBLUE CROSS
SC143644Medicaid
FL87876OtherAMERIGROUP
OH0370049Medicaid
FL11969500Medicaid
FL215939OtherAVMED