MEMORIAL HEALTH SYSTEMS INC


Address: 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164-5999
Phone: 3866714519

MEMORIAL HEALTH SYSTEMS INC (NPI# 1275640997) 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) 1275640997
Entity Type Organization
Organization Name MEMORIAL HEALTH SYSTEMS INC
Other Organization Name ADVENTHEALTH MEDICAL GROUP
Practice Address 61 Memorial Medical Pkwy Ste 2811
Palm Coast
FL 32164-5999
Mailing Address Po Box 864627
Orlando
FL 32886-4627
Practice Telephone 3866714519
Mailing Telephone 3866714500
Mailing Fax Number 3866729904
Enumeration Date 2006-08-25
Last Update Date 2019-08-05
Authorized Official Name CULLY CHAPMAN (VP)
Authorized Official Telephone 3832313906
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
AdventHealth Medical Group Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
875 Sterthaus Ave, Ormond Beach, FL 321745131 3866714500 3866729904

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922115914 Memorial Health Systems Inc Radiology 305 Memorial Medical Pkwy Ste 205, Daytona Beach, FL 32117-5169 2006-08-24
1598860108 Memorial Health Systems Inc Rehabilitation Unit 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 2006-09-14
1720195449 Memorial Health Systems Inc Internal Medicine 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 2006-08-25
1548377260 Memorial Health Systems Inc Family Medicine 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 2006-08-25
1366559080 Memorial Health Systems Inc Family Medicine 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 2006-08-25
1063426823 Memorial Health Systems Inc General Acute Care Hospital 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 2006-07-28

Office Location

Street Address 61 MEMORIAL MEDICAL PKWY STE 2811
City PALM COAST
State FL
Zip Code 32164-5999

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063054468 Traci Serrano Nurse Practitioner 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164-5999 2019-10-17
1720307853 Dean Mehdi Abtahi Internal Medicine 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164 2010-05-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417561044 Ereka Manangan Pharmacist 5000 E, Fl-100, Palm Coast, FL 32164 2020-09-01
1427661735 George Allen Parker Pharmacist 5000 E Hwy 100, Palm Coast, FL 32164 2020-08-26
1891318424 Faithangel Corp In Home Supportive Care 125 Pine Grove Dr, Palm Coast, FL 32164 2020-05-18
1578101481 Sweetie Peetie LLC Hearing Instrument Specialist 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 2019-12-11
1831656610 Dolphin Medical Transport LLC Taxi 30 Westmoreland Dr, Palm Coast, FL 32164 2019-02-27
1003389024 Southeast Snoring & Sleep Apnea Group Durable Medical Equipment & Medical Supplies 108 Pennacles Dr. #101, Palm Coast, FL 32164 2019-01-03
1801388137 Lily Michelle King Licensed Practical Nurse 8 Regent Ln, Palm Coast, FL 32164 2018-06-01
1558880120 Bryan Mendes Physical Therapist 1 Westrock Ln, Palm Coast, FL 32164 2017-09-14
1477077451 Sharon Denise Astrologo Case Manager/Care Coordinator 421 S. Keech St., Daytona Beach, FL 32164 2017-08-01
1952825283 Emily Guarino Behavior Technician 136a Wellwood Lane, Palm Coast, FL 32164 2017-07-28
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508002395 Yesenia E Justiniano Rosario General Practice 2 Mccormick Dr, Palm Coast, FL 32164-2352 2008-12-28
1629032974 Jerry L Waikins General Practice 120 Cypress Edge Dr Ste 102, Palm Coast, FL 32164-8454 2006-04-13
1780645903 Alex Ramon Taveras-cruz General Practice 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137-8217 2006-03-29
1053762740 Coastal Healthcare Partners, LLC General Practice 50 Leanni Way, Suite D1, Palm Coast, FL 32137 2016-06-24
1831311810 Palm Harbor Family Practice and Walk In Clinic Pa General Practice 9 Pine Cone Dr, Suite 102, Palm Coast, FL 32137-8686 2007-05-02
1225131477 Ardent Family Care Pa General Practice 84 Pinnacles Dr Ste 200, Palm Coast, FL 32164-2324 2006-09-06
1124039409 Rommelle Von Such General Practice 1 Florida Park Dr N, Suite 109-110, Palm Coast, FL 32137-3852 2006-08-11

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1760080212 Summit Health Multi Specialty of Florida LLC General Practice 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 2020-10-15
1376140772 Amy Wrenn General Practice 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 2020-10-08
1992302574 Avita Medical Clinic, LLC General Practice 14831 N Florida Ave, Tampa, FL 33613-1825 2020-10-06
1568069672 Ernesto Oscar Gonzalez Pupo General Practice 14420 Sw 22nd St, Miami, FL 33175-6338 2020-10-02
1508463779 Ashley Zanders Walton General Practice 75 Foxfire Ct, Quincy, FL 32351-7293 2020-10-01
1730796830 Brid M Wade General Practice 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 2020-09-23
1902412786 New Era Medical Pllc General Practice 628 Cleveland St Ste A, Clearwater, FL 33755-6603 2020-09-17
1417562414 Jl Laria Aprn Pa General Practice 5751a Sw 40th St, Miami, FL 33155-5301 2020-09-15
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Competitor

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City PALM COAST
Zip Code 32164

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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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