Provider Demographics
NPI:1912007394
Name:WEST ORANGE HEALTHCARE DISTRICT
Entity Type:Organization
Organization Name:WEST ORANGE HEALTHCARE DISTRICT
Other - Org Name:EXPRESSCARE
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 DR
Mailing Address - Street 2:PATIENT FINANCIAL SERVICES DEPARTMENT
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 1:2700 OLD WINTER GARDEN ROAD
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34751
Practice Address - Country:US
Practice Address - Phone:407-656-2055
Practice Address - Fax:407-656-4177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
97766Medicare ID - Type Unspecified