# CYPRESS HEALTH SYSTEMS FLORIDA INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tri County Hospital-Williston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730270943
- **Authorized official:** MR. JERRY E GILLMAN (CEO)
- **Authorized official phone:** (352) 528-2801

## Contact information

- **Practice address:** 125 SW 7TH ST, WILLISTON, FL 32696-2403
- **Practice address phone:** (352) 528-2801
- **Practice address fax:** (352) 528-3824
- **Mailing address:** 125 SW 7TH STREET, WILLISTON, FL 32696-2403
- **Mailing address phone:** (352) 528-2801
- **Mailing address fax:** (352) 528-3824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 282N00000X | FL | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 10/25/2010

## 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 |