Active NPI
Jackson Hospital
- Critical Access Hospital
- Davie, FL
National Provider Identifier
1306046131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 1542872
- Legal business name
- JACKSON HOSPITAL
- Practice address
- 10730 SW 30TH PL
Davie, FL 33328-1536 - Phone
- (305) 585-1100
- NPI assigned
- Jul 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arthur 1 Diskin, MD
- Title
- Head of the Emergency Department
- Phone
- (305) 585-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 1542872 | FL | Primary |
Addresses
Primary practice location
10730 SW 30TH PL
Davie, FL 33328-1536
Mailing address
10730 SW 30TH PL
Davie, FL 33328-1536
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184803200000",
"number": "1306046131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10730 SW 30TH PL",
"city": "DAVIE",
"state": "FL",
"postal_code": "333281536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10730 SW 30TH PL",
"city": "DAVIE",
"state": "FL",
"postal_code": "333281536",
"telephone_number": "305-585-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A",
"authorized_official_last_name": "DISKIN",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "1",
"authorized_official_title_or_position": "HEAD OF THE EMERGENCY DEPARTMENT",
"authorized_official_telephone_number": "305-585-1100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "FL",
"license": "1542872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.