NPIMap

Organization Active NPI

Fishermens Health Inc

  • Critical Access Hospital
  • Marathon, FL
National Provider Identifier
1235669110
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
FISHERMENS HEALTH INC
Practice address
3301 Overseas Hwy
Marathon, FL 33050-2329
Phone
(305) 743-5533
NPI assigned
Jun 14, 2017
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Mr. Drew Grossman
Title
Chief Executive Officer
Phone
(786) 662-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

3301 Overseas Hwy
Marathon, FL 33050-2329

Mailing address

6855 S Red Rd Ste 600
South Miami, FL 33143-3518
Phone (786) 662-7980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170803003698 FL Part A Provider - Critical Access Hospital 9436420791 Practice locations: Marathon, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235669110. Details of each certification follow.

Hospital certification: CCN 101312

Legal name
FISHERMEN'S HEALTH INC
Doing business as
FISHERMEN'S COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 19, 2010
Last certification
Feb 19, 2016
Beds
8
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2017 (2 total)
Organization structure
CorporationNon-profit
Enrollment address
3301 Overseas Hwy
Marathon, FL 33050-2329
Other Hospital Practice Location

Care Compare: Hospital

Medicare Care Compare
Listed as
Fishermen's Community HospitalCCN 101312 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

29 Ships Way
Big Pine Key, FL 33043
Phone (305) 289-9913

3303 Overseas Hwy
Ste 101
Marathon, FL 33050
Phone (305) 434-1499

3303 Overseas Hwy
Ste 102
Marathon, FL 33050
Phone (305) 434-1100

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Peter Chapman Individual Corporate DirectorBoard of Director Jul 1, 2017
Lesley a. Rhyne Individual Corporate DirectorBoard of Director Feb 3, 2020
Albert Boulenger Individual W-2 Managing EmployeePresident and Ceo of Administ Mar 1, 2023
Janice M. Roehl- Anderson Individual Corporate DirectorBoard of Director Oct 28, 2020
Derek F Papp Individual Corporate DirectorBoard of Director Sep 1, 2024
Kelley a Bergstrom Individual Corporate DirectorBoard of Director Apr 23, 2024
Baptist Health South Florida Inc Organization, South Miami, FL Corporation, Non-profit Operational/Managerial Control Jul 1, 2017
Angela Diane Davis- Culver Individual Corporate DirectorBoard of Director Sep 1, 2021
Matthew Arsenault Individual Corporate Officer Sep 1, 2018
Operational/Managerial Control Sep 1, 2018
James Leonard Individual Corporate DirectorBoard of Director Jul 25, 2023
Jonathan N Guevarra Individual Corporate DirectorBoard of Director Feb 3, 2021
Drew Grossman Individual Corporate OfficerCeo Feb 25, 2021
Corporate DirectorCeo Feb 25, 2021
Aleta Williamson Individual Corporate DirectorBoard of Director Oct 1, 2024
Jane C Packard Individual Corporate DirectorBoard of Director Oct 1, 2021

Owners & managing parties with NPI records 1

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

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 206

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

View all 206

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1235669110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 S RED RD STE 600",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433518",
            "telephone_number": "786-662-7980",
            "fax_number": "786-533-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502329",
            "telephone_number": "305-743-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHERMENS HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "786-662-7111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.