Organization
MEMORIAL HOSPITAL FLAGLER INC
Active
Other names
Florida Hospital Flagler, AdventHealth Palm Coast
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK RATHBUN (CHIEF FINANCIAL OFFICER)
(386) 586-4301
Entity
Organization
Contact information
Practice address
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164-5980
(386) 586-2000
Mailing address
770 W GRANADA BLVD STE 203, ORMOND BEACH, FL 32174-5179
(386) 312-4252
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010189300
—
FL
01
—
323
BLUE CROSS
FL
01
—
5000093
UHC
FL
01
—
59387
AETNA HMO
FL
01
—
6200175
AETNA PPO
FL
Enumeration date
09/14/2006
Last updated
08/08/2024
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