Organization
MEMORIAL HOSPITAL-WEST VOLUSIA INC
Active
Other names
Florida Hospital DeLand, AdventHealth DeLand
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN ARMSTRONG (CFO)
(407) 497-8195
Entity
Organization
Contact information
Practice address
701 W. PLYMOUTH AVENUE, DELAND, FL 32720-3236
(386) 943-4522
(386) 943-3674
Mailing address
770 W GRANADA BLVD STE 203, ORMOND BEACH, FL 32174-5179
(386) 943-4522
(386) 943-3674
Taxonomy
Speciality
Code
Description
License number
State
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
4436
FL
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010187700
—
FL
01
—
07283
AETNA HMO
FL
01
—
326
BLUE CROSS
FL
01
—
6200305
AETNA PPO
FL
Enumeration date
10/06/2006
Last updated
06/12/2024
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