Organization
HALIFAX HOSPITAL MEDICAL CENTER
Active
Other names
Halifax Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC M PEBURN (CFO)
(386) 425-4568
Entity
Organization
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4000
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
4181
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
4181
FL
273R00000X
Psychiatric Hospital Unit
4181
FL
273Y00000X
Rehabilitation Hospital Unit
4181
FL
282N00000X
General Acute Care Hospital
Primary
4181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101842-00
—
FL
05
—
0101842-01
—
FL
05
—
0101842-04
—
FL
05
—
0299481-00
—
FL
01
—
303
BLUE CROSS
FL
05
—
7614799-00
—
FL
Enumeration date
06/13/2005
Last updated
01/14/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us