NPIMap

Organization Active NPI

Trustees of Mease Hospital Inc

Doing business as Mease Countryside Hospital

  • General Acute Care Hospital
  • Clearwater, FL
National Provider Identifier
1265419907
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4378 Issued in FL
Legal business name
TRUSTEES OF MEASE HOSPITAL INC
Doing business as
Mease Countryside Hospital
Practice address
3231 N McMullen Booth Rd
Clearwater, FL 33761-2045
Phone
(727) 725-6111
Fax
(727) 725-6181
NPI assigned
Dec 23, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Carl Tremonti
Title
Cfo
Phone
(727) 462-7176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4378 FL Primary

Addresses

Primary practice location

3231 N McMullen Booth Rd
Clearwater, FL 33761-2045

Mailing address

3231 N McMullen Booth Rd
Clearwater, FL 33761-2045
Phone (727) 281-9479

Other identifiers 2

IdentifierTypeStateIssuer
0120081-00MedicaidFL
10D0298557OtherFLCLIA

Other names 1

  • Mease Countryside Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20071128000270 FL Part A Provider - Hospital 1355392044 Practice locations: Clearwater, FL; Palm Harbor, FL; Safety Harbor, FL
O20100104000163 FL Part B Supplier - Clinic/Group Practice 6608917315 Receives reassigned benefits from 10 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tarpon Springs, FL; Safety Harbor, FL; Palm Harbor, FL; Hudson, FL; Dunedin, FL; Clearwater, FL; Brooksville, FL; Bayonet Point, FL
O20240930003967 FL Part B Supplier - Intensive Cardiac Rehabilitation 1355392044 Practice locations: Safety Harbor, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265419907. Details of each certification follow.

Hospital certification: CCN 100265

Legal name
TRUSTEES OF MEASE HOSPITAL INC
Doing business as
MEASE COUNTRYSIDE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 8, 1985
Last certification
Oct 21, 2010
Beds
300
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1938 in FL
Enrollment address
3231 N McMullen Booth Rd
Clearwater, FL 33761-2045
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mease Countryside HospitalCCN 100265 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Advanced Gastroenterology Associates LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2323 Curlew Rd
Ste 1A
Dunedin, FL 34698
Phone (727) 771-8333

648 Virginia St
Dunedin, FL 34698
Phone (727) 788-0017

7614 Jacque Rd
Ste B
Hudson, FL 34667
Phone (727) 863-0008

7533 Medical Dr
Hudson, FL 34667
Phone (727) 862-9436

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1840 Mease Dr
Ste 105
Safety Harbor, FL 34695
Phone (727) 725-6603

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Katherine E Cole Individual Corporate Director Jan 1, 2018
Kimberly Guy Individual Corporate OfficerPresident Mar 30, 2025
Operational/Managerial Control Mar 30, 2025
Patrice Muchowski Individual Corporate Director Jan 1, 2022
Jorge P Navas Individual Corporate Director Jan 1, 2018
David Almon Rood Individual Operational/Managerial ControlVP, Finance - System Office Baycare Feb 19, 2018
Kurt Erickson Individual Corporate Director Jan 1, 2018
Michael Colletti Individual W-2 Managing EmployeeManager, Revenue Reporting/Reimb Feb 3, 2026
Benjamin H Damsker Individual Corporate Director Jan 1, 2018
Jennifer Buck Individual Corporate Director Jan 1, 2022
Janice Sue Polo Individual Operational/Managerial ControlEvp, Cfo Baycare Health Sys Jun 4, 2017
Susan Latvala Individual Corporate Director Jan 1, 2018
Thomas P Inzina Individual Operational/Managerial ControlPresident/Ceo, Baycare Health Sys May 25, 2016
Marion Rose Rich Individual Corporate Director Jan 22, 2019
Tina Joan Tenret Individual Corporate Director Jan 1, 2018
Baycare Health System, Inc. Organization, Clearwater, FL Corporation, Non-profit Operational/Managerial Control May 2, 2007
Tonjua Williams Individual Corporate Director Jan 1, 2018
Robert a Burwell Individual Corporate Director Jan 1, 2018
Vincent Ferrara Individual Corporate Director Jan 1, 2022
Robert J Entel Individual Corporate Director Jan 22, 2019
Patricia Jones Individual Corporate Director Jan 1, 2022
Morton Plant Mease Health Care Inc Organization, Clearwater, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 2, 2007 100%
Robert G. Shaw Individual Corporate Director Jan 22, 2019

Owners & managing parties with NPI records 4

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

Facilities with the same owner 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

Affiliated clinicians 698

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

View all 698

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1265419907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612045",
            "telephone_number": "727-281-9479",
            "fax_number": "727-725-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612045",
            "telephone_number": "727-725-6111",
            "fax_number": "727-725-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTEES OF MEASE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TREMONTI",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-462-7176",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120081-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D0298557",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mease Countryside Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mease Countryside Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.