Hollywood Medical Center, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

4416 Issued in FL

Legal business name

HOLLYWOOD MEDICAL CENTER, INC.

Doing business as

Hollywood Medical Center

Practice address

3600 Washington St
Hollywood, FL 33021-8216

Phone

(954) 966-4500

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas E. Rabe

Title

VP of Taxation, Tenet Healthcare

Phone

(469) 893-2530

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Hollywood Medical Center Doing business as

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.

• Hollywood Medical Center, Inc.

  • Rehabilitation Hospital Unit
  • Hollywood, FL
  • NPI 1689690570
  NPPES parent name

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1073543799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532976",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303532976",
            "telephone_number": "561-982-2189",
            "fax_number": "954-985-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 WASHINGTON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218216",
            "telephone_number": "954-966-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "RABE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VP OF TAXATION, TENET HEALTHCARE",
        "authorized_official_telephone_number": "469-893-2530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "009279",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011179100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "990121",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "080087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1611343",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "100225B000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE (NATI",
            "identifier": "433263410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hollywood Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hollywood Medical and Pain Center LLC
• Hollywood Medical and Rehabilitation
• Hollywood Medical Associates
• Hollywood Medical Care Inc
• Hollywood Medical Center Ekg Associates PA
• Hollywood Medical Center, Inc.
• Hollywood Medical Clinic LLC
• Hollywood Mobile Diagnostics Inc
• Hollywood Mobile Imaging Inc
• Hollywood Oral Surgery, PLLC

• General Acute Care Hospital in Hollywood, FL
• Providers in Hollywood, 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 Dec 5, 2018; 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.