Provider Demographics
NPI:1528042884
Name:BAPTIST HOSPITAL OF MIAMI INC
Entity type:Organization
Organization Name:BAPTIST HOSPITAL OF MIAMI INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:ULBRICHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-596-5002
Mailing Address - Street 1:6855 S RED RD STE 600
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3518
Mailing Address - Country:US
Mailing Address - Phone:786-662-7980
Mailing Address - Fax:786-533-9403
Practice Address - Street 1:8900 N KENDALL DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2118
Practice Address - Country:US
Practice Address - Phone:347-757-5978
Practice Address - Fax:941-275-6355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
273Y00000X
FL4085282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010035800Medicaid
FL1496OtherMEDICA
FL9210OtherAVMED
FL241OtherBLUE CROSS BLUE SHIELD
FL389811OtherUNITED
FL6200820OtherAETNA NON HMO
50-02062OtherUNITED MEDICARE
FL7183OtherAETNA HMO
FLF0003891101OtherNEIGHBORHOOD
=========OtherDIMENSION
FL241OtherBLUE CROSS BLUE SHIELD
FL7183OtherAETNA HMO
=========OtherBEECH STREET
=========OtherCIGNA
=========OtherCONVENTRY PPO
FL1496OtherMEDICA
FL9210OtherAVMED
=========OtherCORVEL
=========OtherMULTIPLAN
=========OtherFIRST HEALTH
=========OtherHUMANA CHOICE
FL389811OtherUNITED
=========OtherJMH HEALTH PLAN
FL241OtherBLUE CROSS BLUE SHIELD
FL7183OtherAETNA HMO