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Organization

HOLMES REGIONAL MEDICAL CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN PULIO (EVP CFO)
(301) 315-3569
Entity
Organization

Contact information

Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
PO BOX 749206, ATLANTA, GA 30374-9206
(321) 434-5055

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4225
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010008100
FL
01
301
BLUE CROSS
FL
05
420020900
FL
Enumeration date
03/03/2006
Last updated
06/04/2025
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