ROGERS MEMORIAL HOSPITAL INC


Address: 2002 N Lois Ave Ste 400, Tampa, FL 33607-2394
Phone: 8442204411

ROGERS MEMORIAL HOSPITAL INC (NPI# 1205337961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205337961
Entity Type Organization
Organization Name ROGERS MEMORIAL HOSPITAL INC
Other Organization Name ROGERS BEHAVIORAL HEALTH
Practice Address 2002 N Lois Ave Ste 400
Tampa
FL 33607-2394
Mailing Address 34700 Valley Rd
Oconomowoc
WI 53066-4500
Practice Telephone 8442204411
Enumeration Date 2018-02-27
Last Update Date 2019-10-10
Authorized Official Name ARNOLD STUEBER (CFO)
Authorized Official Telephone 2626466318
Authorized Official Credential MBA, CPA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Rogers Behavioral Health Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
5805 Blue Lagoon Dr Ste 440, Miami, FL 331262032 8442204411

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699288142 Rogers Memorial Hospital Inc Clinic/Center 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 2017-11-07
1013420561 Rogers Memorial Hospital Inc Clinic/Center 6442 City West Pkwy Ste 200, Eden Prairie, MN 55344-3245 2017-11-07
1700387461 Rogers Memorial Hospital Inc Clinic/Center 4230 Harding Pike Ste 707, Nashville, TN 37205-2031 2018-02-27

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ROGERS MEMORIAL HOSPITAL INCORPORATED 34700 Valley Rd, Oconomowoc, WI 53066-4500

Office Location

Street Address 2002 N LOIS AVE STE 400
City TAMPA
State FL
Zip Code 33607-2394

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NPI Name Taxonomy Address Enumeration
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1912528290 Advanced Mobile Medical Services Clinic/Center 2136 W. Mlk Blvd, Tampa, FL 33607 2020-04-28
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1609360908 Misty Dawn Ray Ross Social Worker 2902 N Armenia Ave Ste 200, Tampa, FL 33607 2018-06-20
1255825154 Kenneth Konrad Schirer Physical Therapist 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 2018-06-14
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City TAMPA
Zip Code 33607

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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