Provider Demographics
NPI:1669427258
Name:GALENCARE, INC.
Entity type:Organization
Organization Name:GALENCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-681-5551
Mailing Address - Street 1:119 OAKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5779
Mailing Address - Country:US
Mailing Address - Phone:813-681-5551
Mailing Address - Fax:813-654-7203
Practice Address - Street 1:119 OAKFIELD DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5779
Practice Address - Country:US
Practice Address - Phone:813-681-5551
Practice Address - Fax:813-654-7203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC10670BMedicaid
20065OtherGA WELLCARE HMO
FL011807900Medicaid
MA7029543Medicaid
ALHOS0243NMedicaid
037203600OtherBLACK LUNG
PA100772913Medicaid
0009395OtherAETNA
TN8464Medicaid
NY00874635Medicaid
AZ538100Medicaid
OH0351613Medicaid
1022390OtherNJ HEALTH
LA1748625Medicaid
FL574OtherBLUE CROSS
FL000030917OtherHUMANA
GA000169584XMedicaid
SC11260AMedicaid
20065OtherGA WELLCARE HMO
FL574OtherBLUE CROSS
FL011807900Medicaid
GA000169584XMedicaid