FLORENCE HOSPITAL, LLC (NPI# 1710204433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710204433 |
| Entity Type | Organization |
| Organization Name | FLORENCE HOSPITAL, LLC |
| Practice Address |
450 W Adamsville Rd Florence AZ 85132 |
| Mailing Address |
Po Box 1589 Florence AZ 85132-3000 |
| Practice Telephone | 5208683000 |
| Mailing Telephone | 5208683000 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2012-12-13 |
| Authorized Official Name | BRENT CHERNE (CFO) |
| Authorized Official Telephone | 2082490011 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHCARE OF FLORENCE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
H4884 | AZ | Hospitals |
| N | 275N00000X | Medicare Defined Swing Bed Unit | H4884 | AZ | Hospital Units |
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
H4884 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 573850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639406267 | Florence Hospital, LLC | General Acute Care Hospital | 1300 E State St, Suite 102, Eagle, ID 83616-7059 | 2009-11-03 |
| Street Address |
450 W ADAMSVILLE RD |
| City | FLORENCE |
| State | AZ |
| Zip Code | 85132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851713085 | Az Tech Radiology & Open Mri | Radiology | 450 W Adamsville Rd, Florence, AZ 85132-8582 | 2014-01-07 |
| 1568894467 | Adamsville Florence Medical Center | General Acute Care Hospital | 450 W Adamsville Rd, Florence, AZ 85132-8582 | 2013-08-01 |
| 1861749111 | Florence Adamsville Hospital, LLC. | General Acute Care Hospital | 450 W Adamsville Rd, Florence, AZ 85132-8582 | 2012-08-06 |
| 1538430913 | Florence Hospital LLC | Radiology | 450 W Adamsville Rd, Florence, AZ 85132-8582 | 2012-01-18 |
| 1174890818 | Arizona Institute of Urology | Specialist | 450 W Adamsville Rd, Florence, AZ 85132-8582 | 2011-11-23 |
| 1083913370 | Charity Felicia Olson | Pharmacist | 450 W Adamsville Rd, Florence, AZ 85132-8582 | 2011-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905648 | Katherine Gastelum | Specialist/Technologist | 2700 North Anthem Way, Florence, AZ 85132 | 2019-07-26 |
| 1003309238 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste B, Florence, AZ 85132 | 2018-06-12 |
| 1821594136 | Jeremiah David Johnson | Internal Medicine | 971 N. Jason Lopez Circle Bldg B, Florence, AZ 85132 | 2018-04-04 |
| 1174022990 | Nicholas Ryan Bibeau | Physical Therapist | 4374 East Butte Avenue, Florence, AZ 85132 | 2018-02-07 |
| 1598289464 | Cyrus Faramroze Austin | Dentist | 1100 Bowling Rd., Florence, AZ 85132 | 2017-08-01 |
| 1477082642 | Horizon Health and Wellness, Inc. | Clinic/Center | 450 W Adamsville Rd Ste A, Florence, AZ 85132 | 2017-06-09 |
| 1083150205 | Sanna Neff | Nurse Practitioner | 495 N Pinal Pkwy Ste 106, Florence, AZ 85132 | 2017-01-11 |
| 1114322807 | Affinity Physical Therapy, LLC | Physical Therapist | 350 S Main Street, Florence, AZ 85132 | 2014-10-24 |
| 1083018923 | Ryan William Taylor | Nurse Practitioner | 1155 N. Pinal Parkway, Central Az Detention Center, Florence, AZ 85132 | 2014-10-21 |
| 1881012755 | Carlos Lavor Weekly | Dentist | 1305 East Butte, Florence, AZ 85132 | 2014-03-28 |
| Find all providers in zip 85132 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1518957398 | Navajo Health Foundation - Sage Memorial Hospital, Inc. | Clinic/Center | Us 191 & Az 264, Ganado, AZ 86505 | 2005-10-24 |
| 1053684555 | La Paz Regional Hospital Inc | Clinic/Center | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2012-02-14 |
| 1730340985 | Navajo Health Foundation | Clinic/Center | Arizona Highway 264 & Junction 191, Ganado, AZ 86505-0457 | 2008-06-20 |
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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.