Bartow Medical Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME100706 Issued in FL

Legal business name

BARTOW MEDICAL CENTER, LLC

Practice address

1056 N Broadway Ave
Bartow, FL 33830-3301

Phone

(727) 251-1366

Fax

(813) 968-5306

NPI assigned

Aug 1, 2008

Last updated

Apr 27, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDICAL CARE CENTERAs reported in NPPES

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

Authorized official

Name

Miss Namrata A. Amin

Title

Chief Operating Officer

Phone

(727) 251-1366

Specialties & licenses 1

Addresses

Part of

Medical Care Centers LLC

Locations

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1245496918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 N BROADWAY AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303301",
            "telephone_number": "727-251-1366",
            "fax_number": "813-968-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 N BROADWAY AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303301",
            "telephone_number": "727-251-1366",
            "fax_number": "813-968-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTOW MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CARE CENTER",
        "enumeration_date": "2008-08-01",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "NAMRATA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "727-251-1366",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME100706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Fay Barnes, M.D.
• Shameka Barringer
• Amanda Dae Barry, RN
• Bartow Hma LLC (Bartown Regional Medical Center)
• Bartow Hma LLC (Bartow Regional Medical Center)
• Bartow Medical Clinic PA
• Bartow Regional Medical Center, Inc.
• Bartow Regional Medical Center, Inc.
• Bartow Regional Medical Center, Inc.
• Bartow Rehabilitation Center, LLC (Bartow Center)

• Specialist in Bartow, FL
• Providers in Bartow, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.