Citrus Memorial Health Foundation Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

4233 Issued in FL

Legal business name

CITRUS MEMORIAL HEALTH FOUNDATION INC

Practice address

502 W Highland Blvd
Inverness, FL 34452-4720

Phone

(352) 344-6481

Fax

(352) 344-3920

NPI assigned

Jul 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan D. Beaty, C.E.O.

Title

President, Chief Executive Officer

Phone

(352) 344-7650

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Citrus Memorial Health System Doing business as

Tax ID family

Citrus Memorial Hospital Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Citrus Memorial Hospital, Inc.

  • Rehabilitation Clinic/Center
  • Homosassa, FL
  • NPI 1366376519
  NPD tax ID
• Citrus Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Inverness, FL
  • NPI 1750780342
  NPD tax ID
• Citrus Memorial Hospital, Inc.

  • Emergency Care Clinic/Center
  • Lecanto, FL
  • NPI 1760315014
  NPD tax ID
• Citrus Memorial Hospital, Inc.

  • Rehabilitation Clinic/Center
  • Inverness, FL
  • NPI 1891620050
  NPD tax ID

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cathlen Suzie Delva, MD

  • Internal Medicine Physician
  • Brooksville, FL
  • NPI 1205275013
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1003834508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524720",
            "telephone_number": "352-344-6481",
            "fax_number": "352-344-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524720",
            "telephone_number": "352-344-6481",
            "fax_number": "352-344-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS MEMORIAL HEALTH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT, CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "352-344-7650",
        "authorized_official_credential": "C.E.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE CROSS BLUE SHIELD",
            "identifier": "544",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010219900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Memorial Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Citrus Emergency Services, PA
• Citrus Gastroenterology MGT PLC
• Citrus Gastroenterology PA
• Citrus Health Associates, PLLC
• Citrus Infusion and Injection Center, Inc.
• Citrus Memorial Health Foundation Inc
• Citrus Memorial Health Foundation Inc
• Citrus Memorial Health Foundation Inc
• Citrus Memorial Hospital, Inc.
• Citrus Memorial Hospital, Inc.

• General Acute Care Hospital in Inverness, FL
• Providers in Inverness, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.