Provider Demographics
NPI:1750453155
Name:H.C. HEALTHCARE, INC.
Entity Type:Organization
Organization Name:H.C. HEALTHCARE, INC.
Other - Org Name:TRINITY COMMUNITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-792-7200
Mailing Address - Street 1:506 4TH ST NW
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:FL
Mailing Address - Zip Code:32052-6603
Mailing Address - Country:US
Mailing Address - Phone:386-792-7200
Mailing Address - Fax:386-792-2084
Practice Address - Street 1:506 4TH ST NW
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:FL
Practice Address - Zip Code:32052-6603
Practice Address - Country:US
Practice Address - Phone:386-792-7200
Practice Address - Fax:386-792-2084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3924275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10U108Medicare ID - Type Unspecified