Provider Demographics
NPI:1639122864
Name:ENGLEWOOD COMMUNITY HOSPITAL, INC.
Entity Type:Organization
Organization Name:ENGLEWOOD COMMUNITY HOSPITAL, INC.
Other - Org Name:HCA FLORIDA ENGLEWOOD HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGUREAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-624-8122
Mailing Address - Street 1:700 MEDICAL BLVD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-3964
Mailing Address - Country:US
Mailing Address - Phone:941-475-6571
Mailing Address - Fax:941-473-5015
Practice Address - Street 1:700 MEDICAL BLVD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-3964
Practice Address - Country:US
Practice Address - Phone:941-475-6571
Practice Address - Fax:941-473-5015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
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
MI404861509Medicaid
20317OtherWELLCARE/STAYWELL
ALHOS0267NMedicaid
NY'01637049Medicaid
0064724OtherAETNA
FL010253900Medicaid
OH0918341Medicaid
IN200104800AMedicaid
NJ6106706Medicaid
038013100OtherBLACK LUNG
SC10906BMedicaid
MI304861492Medicaid
FL583OtherBLUE CROSS
FL000035952OtherHUMANA
20317OtherWELLCARE/STAYWELL
100267Medicare Oscar/Certification