Provider Demographics
NPI:1649200601
Name:CGH HOSPITAL, LTD.
Entity Type:Organization
Organization Name:CGH HOSPITAL, LTD.
Other - Org Name:CORAL GABLES HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF GOVT PROGRAMS, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-436-2267
Mailing Address - Street 1:PO BOX 741215
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-1215
Mailing Address - Country:US
Mailing Address - Phone:561-982-2189
Mailing Address - Fax:305-441-6879
Practice Address - Street 1:3100 DOUGLAS RD
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6914
Practice Address - Country:US
Practice Address - Phone:305-445-8461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
FL4200282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
100183B000000OtherSECTION 1011
20044OtherWELL CARE/STAYWELL/HEALT
237152OtherAVMED
269299OtherCOVENTRY HEALTH CARE LOUI
SECTION 1011OtherNHP MCR 1000
1002900OtherCARE PLUS
080097OtherHUMANA
FL10960600Medicaid
265OtherBCBS OF FLORIDA
990037OtherNEIGHBORHOOD HEALTH PLAN
741802680OtherAMERIGROUP
169983900OtherUS DEPT OF LABOR
491047360OtherAETNA US HEALTHCARE (NATI
FL10-0183Medicare Oscar/Certification