Organization
MEMORIAL HEALTH SYSTEMS INC
Active
Parent organization
MEMORIAL HEALTH SYSTEMS INC FLORIDA HOSPITAL ORMOND MEMORIAL
Other names
AdventHealth Daytona Beach, Florida Hospital Oceanside
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HEALTH SYSTEMS INC FLORIDA HOSPITAL ORMOND MEMORIAL
Authorized official
CORY DOMAYER (CFO)
(386) 231-3906
Entity
Organization
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-6000
(386) 231-1298
Mailing address
770 W GRANADA BLVD STE 203, ORMOND BEACH, FL 32174-5179
(386) 231-4610
(386) 231-1298
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
4201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010186900
—
FL
01
—
334
BLUE CROSS OUTPATIENT
FL
01
—
5000085
UHC
FL
01
—
6201455
AETNA PPO
FL
01
—
671569
AETNA HMO
FL
01
—
Y20
BLUE CROSS INPATIENT
FL
Enumeration date
09/14/2006
Last updated
01/18/2024
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