Provider Demographics
NPI:1851454094
Name:MOORINGS PARK COMMUNITY HEALTH
Entity Type:Organization
Organization Name:MOORINGS PARK COMMUNITY HEALTH
Other - Org Name:MOORINGS PARK REHABILITATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUENTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSCH
Authorized Official - Suffix:
Authorized Official - Credentials:NHA, MBA
Authorized Official - Phone:239-261-1616
Mailing Address - Street 1:111 MOORINGS PARK DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-2118
Mailing Address - Country:US
Mailing Address - Phone:239-261-1616
Mailing Address - Fax:239-643-9138
Practice Address - Street 1:111 MOORINGS PARK DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-2118
Practice Address - Country:US
Practice Address - Phone:239-261-1616
Practice Address - Fax:239-643-9138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)