| Indian River Memorial Hospital Inc | |
|
1000 36th St Vero Beach FL 32960-4862 | |
| (772) 567-4311 | |
| Not Available |
| Full Name | Indian River Memorial Hospital Inc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1000 36th St, Vero Beach, Florida |
| Authorized Official Name and Position | Dennis Laraway (EXECUTIVE VP CHIEF FINANCE OFFICER) |
| Authorized Official Contact | 2164451343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian River Memorial Hospital Inc 6801 Brecksville Rd Ste 20 Attn: Dpc Rk2-7 Independence OH 44131-5062 Ph: (216) 636-4969 | Indian River Memorial Hospital Inc 1000 36th St Vero Beach FL 32960-4862 Ph: (772) 567-4311 |
| NPI Number | 1376512988 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 08/08/2025 |
| Certification Date | 08/08/2025 |
| Medicare PECOS PAC ID | 2365332632 |
|---|---|
| Medicare Enrollment ID | O20080219000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376512988 | NPI | - | NPPES |
| 309 | Other | FL | BLUE CROSS |
| 010104400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 4029 (Florida) | Secondary |
| 282N00000X | General Acute Care Hospital | 4029 (Florida) | Primary |
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