| Memorial Hospital-west Volusia Inc | |
|
701 W. Plymouth Avenue Deland FL 32720-3236 | |
| (386) 943-4522 | |
| (386) 943-3674 |
| Full Name | Memorial Hospital-west Volusia Inc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 701 W. Plymouth Avenue, Deland, Florida |
| Authorized Official Name and Position | Jonathan Armstrong (CFO) |
| Authorized Official Contact | 4074978195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hospital-west Volusia Inc 770 W Granada Blvd Ste 203 Ormond Beach FL 32174-5179 Ph: (386) 943-4522 | Memorial Hospital-west Volusia Inc 701 W. Plymouth Avenue Deland FL 32720-3236 Ph: (386) 943-4522 |
| NPI Number | 1649367269 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 5991763724 |
|---|---|
| Medicare Enrollment ID | O20060131000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649367269 | NPI | - | NPPES |
| 326 | Other | FL | BLUE CROSS |
| 6200305 | Other | FL | AETNA PPO |
| 010187700 | Medicaid | FL | |
| 07283 | Other | FL | AETNA HMO |
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