NPIMap

Organization Active NPI

Desoto Memorial Hospital

  • Rural Acute Care Hospital
  • Arcadia, FL
National Provider Identifier
1346490273
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
4218 Issued in FL
Legal business name
DESOTO MEMORIAL HOSPITAL
Practice address
900 N Roberts Ave
Arcadia, FL 34266-8712
Phone
(863) 494-3535
Fax
(863) 491-4244
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Vince Sica
Title
Ceo/President
Phone
(863) 494-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 4218 FL Primary

Addresses

Primary practice location

900 N Roberts Ave
Arcadia, FL 34266-8712

Mailing address

900 N Roberts Ave
Arcadia, FL 34266-8712
Phone (863) 494-3535

National Provider Directory

National Provider Directory
Tax ID family
Desoto County Hospital District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4161 Tamiami Trl
Unit 302
Port Charlotte, FL 33952

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1346490273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N ROBERTS AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668712",
            "telephone_number": "863-494-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ROBERTS AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668712",
            "telephone_number": "863-494-3535",
            "fax_number": "863-491-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "SICA",
        "authorized_official_first_name": "VINCE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "863-494-3535"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "FL",
            "license": "4218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.