Provider Demographics
NPI:1013961838
Name:HCA HEALTH SERVICES OF FLORIDA, INC.
Entity Type:Organization
Organization Name:HCA HEALTH SERVICES OF FLORIDA, INC.
Other - Org Name:HCA FLORIDA OAK HILL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-596-6632
Mailing Address - Street 1:11375 CORTEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-5409
Mailing Address - Country:US
Mailing Address - Phone:352-596-6632
Mailing Address - Fax:352-597-3024
Practice Address - Street 1:11375 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-5409
Practice Address - Country:US
Practice Address - Phone:352-596-6632
Practice Address - Fax:352-597-3024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI404960561Medicaid
FL000030997OtherHUMANA
037095600OtherBLACK LUNG
0536513OtherAETNA
OH0617443Medicaid
MI304960552Medicaid
NY00931466Medicaid
GA840875575AMedicaid
20939OtherWELLCARE/STAYWELL
FL012007300Medicaid
FL581OtherBLUE CROSS
MI404960561Medicaid
100264Medicare Oscar/Certification