NPIMap

Organization Active NPI

Tampa General Hospital Citrus LLC

Doing business as Tampa General Hospital Crystal River

  • General Acute Care Hospital
  • Crystal River, FL
National Provider Identifier
1407637531
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
TAMPA GENERAL HOSPITAL CITRUS LLC
Doing business as
Tampa General Hospital Crystal River
Practice address
6201 N Suncoast Blvd
Crystal River, FL 34428-6712
Phone
(352) 795-6560
Fax
(352) 795-8369
NPI assigned
Oct 13, 2023
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Mark Runyon
Title
Evp Chief Financial Ofcr FHSC
Phone
(813) 844-4805

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X
General Acute Care Hospital 282N00000X Primary
Wound Care Registered Nurse 163WW0000X

Addresses

Primary practice location

6201 N Suncoast Blvd
Crystal River, FL 34428-6712

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-3956

Other practice location 1

6151 N Suncoast Blvd Ste 1H
Crystal River, FL 34428-2984
Phone (352) 228-4940

Other practice location 2

11503 W Emerald Oaks Dr
Crystal River, FL 34428-2815
Phone (352) 563-2407

Other practice location 3

6151 N Suncoast Blvd Ste 1G
Crystal River, FL 34428-6719
Phone (352) 795-0534

Other practice location 4

907 W Norvell Bryant Hwy
Hernando, FL 34442-5288
Phone (352) 765-2400

Other practice location 5

1669 SE US Highway 19
Crystal River, FL 34429-4849
Phone (352) 795-6560

Other names 1

  • Tampa General Hospital Crystal River Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240104002294 FL Part A Provider - Hospital 2961853858 Practice locations: Crystal River, FL; Hernando, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407637531. Details of each certification follow.

Hospital certification: CCN 100249

Legal name
TAMPA GENERAL HOSPITAL CITRUS LLC
Doing business as
TAMPA GENERAL HOSPITAL CRYSTAL RIVER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 1, 1979
Last certification
Oct 9, 2019
Beds
128
Ownership / control type
Private (not for profit)
Most recent change of ownership
Dec 1, 2023 (5 total)
Organization structure
LLCNon-profit
Enrollment address
6201 N Suncoast Blvd
Crystal River, FL 34428-6712
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Tampa General Hospital Crystal RiverCCN 100249 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

6151 N Suncoast Blvd
Ste 1H
Crystal River, FL 34428
Phone (352) 228-4940

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 5

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

NameRoleSinceShare
Stephen Harris Individual Corporate OfficerSVP Payor and Gov Affairs Dec 1, 2023
Mark Runyon Individual Corporate OfficerCfo Dec 1, 2023
W-2 Managing EmployeeCfo Dec 1, 2023
Florida Health Sciences Center Inc Organization, Tampa, FL Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2023 100%
John D Couris Individual Corporate OfficerPresident & Ceo Dec 1, 2023
Corporate DirectorPresident & Ceo Dec 1, 2023
Steve Short Individual Corporate Officer Dec 1, 2023

Owners & managing parties with NPI records 2

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 294

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

View all 294

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1407637531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286712",
            "telephone_number": "352-795-6560",
            "fax_number": "352-795-8369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6151 N Suncoast Blvd Ste 1H",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344282984",
            "country_code": "US",
            "telephone_number": "352-228-4940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11503 W Emerald Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344282815",
            "country_code": "US",
            "telephone_number": "352-563-2407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6151 N Suncoast Blvd Ste 1G",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344286719",
            "country_code": "US",
            "telephone_number": "352-795-0534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "907 W Norvell Bryant Hwy",
            "address_purpose": "LOCATION",
            "city": "Hernando",
            "state": "FL",
            "postal_code": "344425288",
            "country_code": "US",
            "telephone_number": "352-765-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1669 SE US Highway 19",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344294849",
            "country_code": "US",
            "telephone_number": "352-795-6560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMPA GENERAL HOSPITAL CITRUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "RUNYON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EVP CHIEF FINANCIAL OFCR FHSC",
        "authorized_official_telephone_number": "813-844-4805"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa General Hospital Crystal River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.