Provider Demographics
NPI:1821198201
Name:WEST ORANGE HEALTHCARE DISTRICT
Entity Type:Organization
Organization Name:WEST ORANGE HEALTHCARE DISTRICT
Other - Org Name:HEALTH CENTRAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CROWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-296-1806
Mailing Address - Street 1:10000 W COLONIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3498
Mailing Address - Country:US
Mailing Address - Phone:407-296-1820
Mailing Address - Fax:407-253-1675
Practice Address - Street 1:10000 W COLONIAL DR
Practice Address - Street 2:PATIENT FINANCIAL SERVICES DEPARTMENT
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3498
Practice Address - Country:US
Practice Address - Phone:407-296-1000
Practice Address - Fax:407-877-1306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207V00000X, 261QU0200X
FL4119282N00000X
FL002553341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA0190Medicare PIN
FL100030Medicare Oscar/Certification
FL97766Medicare PIN
FL100030Medicare PIN