Provider Demographics
NPI:1740220680
Name:WEST FLORIDA REGIONAL MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:WEST FLORIDA REGIONAL MEDICAL CENTER, INC.
Other - Org Name:WEST FLORIDA 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:850-494-6100
Practice Address - Fax:850-494-4141
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEST FLORIDA REGIONAL MEDICAL CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-08
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
10T231Medicare Oscar/Certification