Provider Demographics
NPI:1144274317
Name:PLANTATION GENERAL HOSPITAL L P
Entity type:Organization
Organization Name:PLANTATION GENERAL HOSPITAL L P
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-513-6000
Mailing Address - Street 1:401 NW 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2835
Mailing Address - Country:US
Mailing Address - Phone:954-587-5010
Mailing Address - Fax:954-587-3220
Practice Address - Street 1:401 NW 42ND AVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2835
Practice Address - Country:US
Practice Address - Phone:954-587-5010
Practice Address - Fax:954-587-3220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN531468000Medicaid
FL000037939OtherHUMANA
FL012000600Medicaid
NY0159388Medicaid
20909OtherWELLCARE/STAYWELL
GA14963OtherAMERIGROUP
FL258OtherBLUE CROSS
OH0960081Medicaid
SC412145Medicaid
0784897OtherAETNA
FL000037939OtherHUMANA
NY0159388Medicaid