Provider Demographics
NPI:1639116726
Name:WEST FLORIDA REGIONAL MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:WEST FLORIDA REGIONAL MEDICAL CENTER, INC.
Other - Org Name:HCA FLORIDA WEST HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SUITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-494-4685
Mailing Address - Street 1:PO BOX 18900
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32523-8900
Mailing Address - Country:US
Mailing Address - Phone:850-494-4100
Mailing Address - Fax:850-494-4141
Practice Address - Street 1:8383 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6039
Practice Address - Country:US
Practice Address - Phone:850-494-4100
Practice Address - Fax:850-494-4141
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
AL010168OtherBLUE CROSS
FL117315OtherAMERIGROUP
GA000108787AMedicaid
FL215500OtherAVMED
ALHOS0231PMedicaid
NY00407089Medicaid
OH0465303Medicaid
FL11321200Medicaid
FLZ436OtherBLUE CROSS/HOPT
ALHOS0231PMedicaid