Provider Demographics
NPI:1982089496
Name:HOLY CROSS HOSPITAL
Entity Type:Organization
Organization Name:HOLY CROSS HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGETTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-707-4894
Mailing Address - Street 1:77 LANDAU ST
Mailing Address - Street 2:77
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8434
Mailing Address - Country:US
Mailing Address - Phone:561-707-4894
Mailing Address - Fax:
Practice Address - Street 1:77 LANDAU ST
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8434
Practice Address - Country:US
Practice Address - Phone:561-707-4894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-26
Last Update Date:2015-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital