HOLMES REGIONAL MEDICAL CENTER, INC. (NPI# 1235312281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235312281 |
Entity Type | Organization |
Organization Name | HOLMES REGIONAL MEDICAL CENTER, INC. |
Other Organization Name | FIRST FLIGHT |
Practice Address |
1350 S Hickory St Melbourne FL 32901-3224 |
Mailing Address |
1377 General Aviation Dr Melbourne FL 32935-6310 |
Practice Telephone | 3214347000 |
Mailing Telephone | 3214347000 |
Enumeration Date | 2007-12-13 |
Last Update Date | 2015-03-27 |
Authorized Official Name | JOSEPH FELKNER (EXECUTIVE VP/CFO) |
Authorized Official Telephone | 3214345687 |
Is Organization Subpart | Y |
Parent Organization Name | HOLMES REGIONAL MEDICAL CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416A0800X |
Ambulance Specialization: Air Transport |
FL | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 420020900 | 05 |
Other Name | Type Code |
---|---|
First Flight | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891319687 | Holmes Regional Medical Center, Inc. | Pharmacy | 1425 Malabar Road Ne, Health First Family Pharmacy - Manager, Palm Bay, FL 32907-2506 | 2020-06-08 |
1952759730 | Holmes Regional Medical Center, Inc. | Clinic/Center | 1350 Hickory St, Melbourne, FL 32901-3224 | 2016-06-02 |
1396143475 | Holmes Regional Medical Center, Inc. | Pharmacy | 8725 N Wickham Rd, Melbourne, FL 32940-2239 | 2014-12-05 |
1619374436 | Holmes Regional Medical Center, Inc. | Pharmacy | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2014-11-21 |
1265831150 | Holmes Regional Medical Center, Inc. | Pharmacy | 1223 Gateway Dr, Health First Family Pharmacy, Melbourne, FL 32901-2607 | 2014-08-18 |
1851738306 | Holmes Regional Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 1350 South Hickory Street, Melbourne, FL 32901-3224 | 2013-05-23 |
1386940823 | Holmes Regional Medical Center, Inc. | General Acute Care Hospital | 1425 Malabar Rd Ne, Palm Bay, FL 32907-2506 | 2011-02-01 |
1447442298 | Holmes Regional Medical Center, Inc. | Pharmacy | 1350 Hickory St, Melbourne, FL 32901-3224 | 2007-08-15 |
1295702728 | Holmes Regional Medical Center, Inc. | General Acute Care Hospital | 1350 Hickory St, Melbourne, FL 32901-3224 | 2006-03-03 |
Street Address |
1350 S HICKORY ST |
City | MELBOURNE |
State | FL |
Zip Code | 32901-3224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174526958 | Mark Edmund Pessa | Surgery | 1350 S Hickory St, Suite Pso, Melbourne, FL 32901 | 2005-05-24 |
1780041483 | Jacqueline Jennings | Registered Nurse | 1350 S Hickory St, Melbourne, FL 32901 | 2016-01-26 |
1396026027 | Jessica Mortin Wicker | Occupational Therapist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-09-08 |
1518248251 | Mary Haddadin | Occupational Therapist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-09-08 |
1215235338 | Lee Ann Finizio | Registered Nurse | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-03-14 |
1700183506 | Space Coast Pathologists Pa | Clinical Medical Laboratory | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-02-15 |
1548562127 | Kimberly Lynn Hunger | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-12-02 |
1457661902 | Jason Michael Perry | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-10-18 |
1063722569 | Catherine Anne Barbour | Social Worker | 1350 S Hickory St, Case Management Department, Melbourne, FL 32901-3224 | 2010-10-18 |
1346571684 | Stephen Paul Gilbert | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-01-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
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Taxonomy Code | 3416A0800X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Air Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1619416880 | Med-trans Corporation | Ambulance | 550 Highway 2300, Southport, FL 32409-1293 | 2017-02-21 |
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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.