Organization Active NPI

Tri County Medical Center LLC

  • Internal Medicine Physician
  • Crystal River, FL
National Provider Identifier
1124688411
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRI COUNTY MEDICAL CENTER LLC
Practice address
155 SE US Highway 19
Crystal River, FL 34429-4838
Phone
(352) 228-4938
Fax
(352) 228-8041
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Ernest Scriven
Title
Administrator
Phone
(352) 302-0756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

155 SE US Highway 19
Crystal River, FL 34429-4838

Mailing address

155 SE US Highway 19
Crystal River, FL 34429-4838
Phone (352) 228-4938

National Provider Directory

National Provider Directory

Locations

155 SE US Highway 19
Crystal River, FL 34429
Phone (352) 563-0184

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1124688411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SE US HIGHWAY 19",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294838",
            "telephone_number": "352-228-4938",
            "fax_number": "352-228-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SE US HIGHWAY 19",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294838",
            "telephone_number": "352-228-4938",
            "fax_number": "352-228-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "SCRIVEN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-302-0756"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.