Provider Demographics
NPI:1740608223
Name:HCA ORANGE PARK
Entity Type:Organization
Organization Name:HCA ORANGE PARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRE REG
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAMFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-688-2000
Mailing Address - Street 1:335 CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:335 CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-2680
Practice Address - Country:US
Practice Address - Phone:904-688-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital