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Organization
CYPRESS HEALTH SYSTEMS FLORIDA INC.
Active
Organization
CYPRESS HEALTH SYSTEMS FLORIDA INC.
Active
Other names
Tri County Hospital-Williston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY E GILLMAN (CEO)
(352) 528-2801
Entity
Organization
Contact information
Practice address
125 SW 7TH ST, WILLISTON, FL 32696-2403
(352) 528-2801
(352) 528-3824
Mailing address
125 SW 7TH STREET, WILLISTON, FL 32696-2403
(352) 528-2801
(352) 528-3824
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
282N00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010114100
—
FL
05
—
256450500
—
FL
01
—
332
BCBS OF FL
FL
05
—
660137500
—
FL
01
—
72816
BCBS OF FL PROFESSIONAL
FL
Enumeration date
09/27/2006
Last updated
10/25/2010
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