BAY HOSPITAL, INC

Provider Demographics

• NPI: 1699721589
• Name: BAY HOSPITAL, INC
• Entity type: Organization
• Organization Name: BAY HOSPITAL, INC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: AMBER
• Authorized Official - Last Name: GOODPASTER
• Authorized Official - Phone: 850-747-7102
• Mailing Address - Street 1: 449 W 23RD ST
• Mailing Address - City: PANAMA CITY
• Mailing Address - State: FL
• Mailing Address - Zip Code: 32405-4507
• Mailing Address - Country: US
• Mailing Address - Phone: 850-769-8341
• Mailing Address - Fax: 850-747-7107
• Practice Address - Street 1: 449 W 23RD ST
• Practice Address - City: PANAMA CITY
• Practice Address - State: FL
• Practice Address - Zip Code: 32405-4507
• Practice Address - Country: US
• Practice Address - Phone: 850-769-8341
• Practice Address - Fax: 850-747-7107
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-25
• Last Update Date: 2025-05-08

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital

Provider Identifiers

State	Identifier ID	ID Type	Issuer
TN	0100242	Medicaid
RI	100242	Medicaid
MA	1009729	Medicaid
SC	10702A	Medicaid
AL	HOS0242N	Medicaid
CA	XHSP32728	Medicaid
MS	00220298	Medicaid
WV	0171974000	Medicaid
OH	0569648	Medicaid
IN	100041970A	Medicaid
VA	1002422	Medicaid
TX	107876801	Medicaid
	220378	Other	AVMED
	437	Other	BLUE CROSS
NY	01554012	Medicaid
FL	11761700	Medicaid
PA	1524390	Medicaid
LA	1743020	Medicaid
MD	209335900	Medicaid
NJ	6881203	Medicaid
NM	B2844	Medicaid
KY	01290907	Medicaid
IA	0540765	Medicaid
WA	3017241	Medicaid
WY	110774700	Medicaid
NH	20001388	Medicaid
AR	110262105	Medicaid
	44621	Other	AMERIGROUP
MN	541223400	Medicaid
WI	81518600	Medicaid
CO	95018529	Medicaid
AK	HS2IPFL	Medicaid
AK	HS2IPFL	Medicaid