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Organization

CYPRESS HEALTH SYSTEMS FLORIDA INC.

Active
Other names
Tri County Hospital - Williston
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY E GILLMAN (CEO)
(352) 528-2801
Entity
Organization

Contact information

Practice address
125 SW 7TH ST, WILLISTON, FL 32696-2403
(352) 528-2801
(352) 528-3824
Mailing address
125 SW 7TH STREET, WILLISTON, FL 32696-2403
(352) 528-2801
(352) 528-3824

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
4424
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010114100
FL
01
10U139
MEDICARE SWING BED
FL
05
256450500
FL
01
332
BCBS OF FL
FL
01
72816
BC & 'BS
FL
Enumeration date
08/05/2007
Last updated
10/25/2010
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