Provider Demographics
NPI:1609040971
Name:BAYCARE HEALTH SYSTEMS
Entity Type:Organization
Organization Name:BAYCARE HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ER MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BASHUM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-757-8517
Mailing Address - Street 1:301 N ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4303
Mailing Address - Country:US
Mailing Address - Phone:813-757-1200
Mailing Address - Fax:
Practice Address - Street 1:301 N. ALEXANDER ST.
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563
Practice Address - Country:US
Practice Address - Phone:813-757-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital