HOLMES REGIONAL MEDICAL CENTER, INC. (NPI# 1952759730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952759730 |
| Entity Type | Organization |
| Organization Name | HOLMES REGIONAL MEDICAL CENTER, INC. |
| Other Organization Name | HEALTH FIRST FAMILY PHARMACY |
| Practice Address |
1350 Hickory St Melbourne FL 32901-3224 |
| Practice Telephone | 3214347488 |
| Practice Fax Number | 3214346105 |
| Mailing Telephone | 3214347488 |
| Mailing Fax Number | 3214346105 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Authorized Official Name | MR. ROBERT DOUGLAS HOLT (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 3214347488 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | Y |
| Parent Organization Name | HOLMES REGIONAL MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
PH27937 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHARMACY LICENSE | PH27937 | 01 |
| Other Name | Type Code |
|---|---|
| Health First Family Pharmacy | 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 |
| 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 |
| 1235312281 | Holmes Regional Medical Center, Inc. | Ambulance | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2007-12-13 |
| 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 HICKORY ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159670 | Igor Balatsky | Internal Medicine | 1350 Hickory St, Hrmc/hospitalist Program, Melbourne, FL 32901-3224 | 2005-07-29 |
| 1346855301 | Anushree Patel | Anesthesiologist Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-09-15 |
| 1316565492 | Megan Bellinger | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-07-06 |
| 1427673011 | Jessica Joy Milnor | Nurse Anesthetist, Certified Registered | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-06-10 |
| 1487274205 | Eric Cuthbert | Registered Nurse | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-04-22 |
| 1366061970 | Lisa Kistler | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-04-14 |
| 1194344168 | Tracy Eichelberger | Respiratory Therapist, Registered | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-04-10 |
| 1477198752 | Matthew Robert Ferraro | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-11-11 |
| 1356983092 | Parvin Deidri Daneshvar | Registered Nurse | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-10-15 |
| 1972155489 | David Nester Lucas | Family Medicine | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-07-15 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
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| 1659673911 | Gentle Healing LLC | Clinic/Center | 2351 W Eau Gallie Blvd, Suite 7, Melbourne, FL 32935-3114 | 2010-11-18 |
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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.