NPIMap

Organization Active NPI

Halifax Healthcare Systems Inc

  • Emergency Medicine Physician
  • Port Orange, FL
National Provider Identifier
1215978010
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
HALIFAX HEALTHCARE SYSTEMS INC
Practice address
740 Dunlawton Ave
Suite 100
Port Orange, FL 32127-4901
Phone
(386) 947-4680
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Arvin Lewis
Title
Vppbfs
Phone
(386) 226-4590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

740 Dunlawton Ave
Suite 100
Port Orange, FL 32127-4901

Mailing address

740 Dunlawton Ave
Suite 100
Port Orange, FL 32127-4901
Phone (386) 947-4680

Other names 1

  • HHCSI Halifax Urgent Care Clinics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000443 FL Part B Supplier - Clinic/Group Practice 1254238090 Receives reassigned benefits from 827 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Deltona, FL; Daytona Beach, FL; New Smyrna, FL; New Smyrna Beach, FL; Ormond Beach, FL; Port Orange, FL

Other NPIs on the same Medicare enrollment 25

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

View all 25

National Provider Directory

National Provider Directory

Locations

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1215978010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 DUNLAWTON AVE",
            "address_2": "SUITE 100",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274901",
            "telephone_number": "386-947-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 DUNLAWTON AVE",
            "address_2": "SUITE 100",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274901",
            "telephone_number": "386-947-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX HEALTHCARE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ARVIN",
        "authorized_official_title_or_position": "VPPBFS",
        "authorized_official_telephone_number": "386-226-4590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HHCSI Halifax Urgent Care Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.