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Organization
AMISUB NORTHRIDGE HOSPITAL ,INC.
Active
Organization
AMISUB NORTHRIDGE HOSPITAL ,INC.
Active
Other names
North Ridge Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET)
(818) 436-2267
Entity
Organization
Contact information
Practice address
5757 N DIXIE HWY, OAKLAND PARK, FL 33334-4135
(954) 776-6000
Mailing address
PO BOX 740754, ATLANTA, GA 30374-0754
(561) 982-2189
(954) 493-5061
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102571-00
—
CA
05
—
010257100
—
FL
01
—
080092
HUMANA
—
01
—
224058
AVMED
—
01
—
284
BCBS OF FLORIDA
—
05
—
7001207
—
MA
01
—
919683020
AETNA US HEALTHCARE
—
01
—
990194
NEIGHBORHOOD HEALTH PLAN
—
Enumeration date
07/06/2006
Last updated
03/16/2021
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