NPIMap

Organization Active NPI

Tampa General Hospital Hernando LLC

  • General Acute Care Hospital
  • Brooksville, FL
National Provider Identifier
1063294197
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
TAMPA GENERAL HOSPITAL HERNANDO LLC
Practice address
17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone
(352) 796-5111
Fax
(352) 544-5711
NPI assigned
Oct 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Mark Runyon
Title
Evp Chief Financial Ofcr FHSC
Phone
(813) 844-4805

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

17240 Cortez Blvd
Brooksville, FL 34601-8921

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-3956

Other practice location 1

17222 Hospital Blvd Ste 144
Brooksville, FL 34601-8925
Phone (352) 544-6028

Other names 1

  • Tampa General Hospital Brooksville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240118003062 FL Part A Provider - Hospital 5799137337 1 other NPI on this enrollment
Practice locations: Brooksville, FL; Spring Hill, FL

Hospital certification: CCN 100071

Legal name
TAMPA GENERAL HOSPITAL HERNANDO LLC
Doing business as
TAMPA GENERAL HOSPITAL BROOKSVILLE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 15, 2024
Beds
244
Ownership / control type
Church
Most recent change of ownership
Dec 1, 2023 (3 total)
Organization structure
LLCNon-profit
Enrollment address
17240 Cortez Blvd
Brooksville, FL 34601-8921
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Tampa General Hospital BrooksvilleCCN 100071
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Florida Health Sciences Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

17222 Hospital Blvd
Ste 144
Brooksville, FL 34601
Phone (352) 544-6028

Networks

  • 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)…
  • 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)

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephen Harris Individual Corporate OfficerSVP Payor and Gov Affairs Dec 1, 2023
Mark Runyon Individual Corporate OfficerCfo Dec 1, 2023
W-2 Managing EmployeeCfo Dec 1, 2023
Florida Health Sciences Center Inc Organization, Tampa, FL Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2023 100%
John D Couris Individual Corporate OfficerPresident & Ceo Dec 1, 2023
Corporate DirectorPresident & Ceo Dec 1, 2023
Steve Short Individual Corporate OfficerEvp President Dec 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 299

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 299

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1063294197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-3956",
            "fax_number": "813-844-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17240 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018921",
            "telephone_number": "352-796-5111",
            "fax_number": "352-544-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17222 Hospital Blvd Ste 144",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346018925",
            "country_code": "US",
            "telephone_number": "352-544-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMPA GENERAL HOSPITAL HERNANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "RUNYON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EVP CHIEF FINANCIAL OFCR FHSC",
        "authorized_official_telephone_number": "813-844-4805"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa General Hospital Brooksville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tampa General Hospital Brooksville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.