| Tampa General Hospital Hernando Llc | |
|
17240 Cortez Blvd Brooksville FL 34601-8921 | |
| (352) 796-5111 | |
| (352) 544-5711 |
| Full Name | Tampa General Hospital Hernando Llc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 17240 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Mark Runyon (EVP CHIEF FINANCIAL OFCR FHSC) |
| Authorized Official Contact | 8138444805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa General Hospital Hernando Llc Po Box 1289 Tampa FL 33601-1289 Ph: (813) 844-3956 | Tampa General Hospital Hernando Llc 17240 Cortez Blvd Brooksville FL 34601-8921 Ph: (352) 796-5111 |
| NPI Number | 1063294197 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 03/21/2025 |
| Medicare PECOS PAC ID | 5799137337 |
|---|---|
| Medicare Enrollment ID | O20240118003062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063294197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
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