Organization
BARTOW HMA LLC
Active
Other names
Bartow Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7488
Entity
Organization
Contact information
Practice address
2200 OSPREY BLVD, BARTOW, FL 33830-3308
(863) 519-1402
(863) 519-1420
Mailing address
2200 OSPREY BLVD, BARTOW, FL 33830-3308
(863) 519-1402
(863) 519-1420
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012041300
—
FL
01
—
511
BC BS
FL
Enumeration date
05/22/2006
Last updated
01/28/2014
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