FMC Hospital, LTD.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

4207 Issued in FL

Legal business name

FMC HOSPITAL, LTD.

Doing business as

Florida Medical Center

Practice address

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503

Phone

(954) 735-6000

NPI assigned

Jun 28, 2006

Last updated

Mar 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Craig C. Armin

Title

VP of Govt Programs, Tenet

Phone

(818) 436-2267

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• Florida Medical Center Doing business as

Electronic endpoints 1

Tax ID family

FMC Hospital LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• FMC Hospital, LTD.

  dba Florida Medical Center

  • Psychiatric Hospital Unit
  • Lauderdale Lakes, FL
  • NPI 1073548020
  NPD tax ID

Interoperability endpoints

• Direct secure messaging: flo@direct.hub5.tenethealth.com

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• FMC Hospital, LTD.

  dba Florida Medical Center

  • Psychiatric Hospital Unit
  • Lauderdale Lakes, FL
  • NPI 1073548020
  NPPES parent name

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1265469605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740944",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740944",
            "telephone_number": "561-982-2189",
            "fax_number": "954-735-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131503",
            "telephone_number": "954-735-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMC HOSPITAL, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "ARMIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VP OF GOVT PROGRAMS, TENET",
        "authorized_official_telephone_number": "818-436-2267",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010214800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE (NATI",
            "identifier": "054953620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (US / PUERTO RICO)",
            "identifier": "111111111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "275",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE (NATI",
            "identifier": "953628180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "080084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (US / PUERTO RICO)",
            "identifier": "65054753",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "990092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "009228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CARE HMO",
            "identifier": "650154753",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FLO@Direct.Hub5.TenetHealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5000 W Oakland Park Blvd",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333131503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Florida Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florida Youth Services South
• Floridas Treatment Center
• FMC Cardiology Panel LLC
• FMC Emergency Solutions LLC
• FMC Hospital, LTD. (Florida Medical Center)
• Mara Forsgren
• Foster Psychiatric Wellness Group, LLC
• Lisa May Foster, PMHNP-BC
• Sabrina Francis
• Olga Franco

• General Acute Care Hospital in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.