Provider Demographics
NPI:1598097222
Name:TARPON SPRINGS HOSPITAL FOUNDATION INC
Entity Type:Organization
Organization Name:TARPON SPRINGS HOSPITAL FOUNDATION INC
Other - Org Name:HELEN ELLIS MEMORIAL HOSPITAL PHYSICIANS GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-942-5107
Mailing Address - Street 1:1501 ALTERNATE 19 SOUTH
Mailing Address - Street 2:SUITE J
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-3790
Mailing Address - Country:US
Mailing Address - Phone:727-943-3642
Mailing Address - Fax:727-942-9745
Practice Address - Street 1:1501 ALTERNATE 19 SOUTH
Practice Address - Street 2:SUITE J
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-3790
Practice Address - Country:US
Practice Address - Phone:727-943-3642
Practice Address - Fax:727-942-9745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty