Provider Demographics
NPI:1689621450
Name:OSCEOLA REGIONAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:OSCEOLA REGIONAL HOSPITAL, INC.
Other - Org Name:HCA FLORIDA OSCEOLA HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIGGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-518-3603
Mailing Address - Street 1:700 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4924
Mailing Address - Country:US
Mailing Address - Phone:407-846-2266
Mailing Address - Fax:407-518-3616
Practice Address - Street 1:700 W OAK ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4924
Practice Address - Country:US
Practice Address - Phone:407-846-2266
Practice Address - Fax:407-518-3616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001574740003Medicaid
WI100697350AMedicaid
MA7205163Medicaid
ALHOS0110NMedicaid
AKHS42IPMedicaid
MO13888706Medicaid
IN200163940Medicaid
67320OtherAMERIGROUP
CO95019337Medicaid
NC100110Medicaid
OH0235650Medicaid
TX108699302Medicaid
MI30-3219885Medicaid
GA000621717XMedicaid
VT0100110Medicaid
KY01291962Medicaid
089008OtherAVMED
NV1189268Medicaid
AR136670105Medicaid
LA1765961Medicaid
NY01019552Medicaid
FL10138900Medicaid
338OtherBLUE CROSS
CAXHSP32720Medicaid
CT003102241Medicaid
KS0186932501Medicaid
MN013523200Medicaid
NH20001866Medicaid
AZ525305Medicaid
ME=========Medicaid
AKHS42IPMedicaid
GA000621717XMedicaid