NPIMap

Organization Active NPI

Hma Santa Rosa Medical Center LLC

Doing business as Santa Rosa Medical Center

  • General Acute Care Hospital
  • Milton, FL
National Provider Identifier
1528015302
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4342 Issued in FL
Legal business name
HMA SANTA ROSA MEDICAL CENTER LLC
Doing business as
Santa Rosa Medical Center
Practice address
6002 Berryhill Rd
Milton, FL 32570-5062
Phone
(850) 623-7762
Fax
(850) 623-5083
NPI assigned
May 27, 2006
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4342 FL Primary

Addresses

Primary practice location

6002 Berryhill Rd
Milton, FL 32570-5062

Mailing address

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762

Other identifiers 2

IdentifierTypeStateIssuer
424OtherFLBLUE CROSS
010174500MedicaidFL

Other names 1

  • Santa Rosa Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090804000591 FL Part A Provider - Hospital 8022918069 Practice locations: Pace, FL; Milton, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528015302. Details of each certification follow.

Hospital certification: CCN 100124

Legal name
HMA SANTA ROSA MEDICAL CENTER LLC
Doing business as
SANTA ROSA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 4, 2019
Beds
129
Ownership / control type
Private (for profit)
Most recent change of ownership
Apr 3, 2002 (1 total)
Organization structure
LLCProprietary
Incorporated
Dec 29, 2008 in FL
Enrollment address
6002 Berryhill Rd
Milton, FL 32570-5062
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Santa Rosa Medical CenterCCN 100124 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0271665Santa Rosa Medical Center Clinical Lab6002 Berryhill Rd, Milton, FL 32570AccreditationNov 30, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5992 Berryhill Rd
Ste 100
Milton, FL 32570
Phone (850) 626-5187

5992 Berryhill Rd
Ste 101
Milton, FL 32570
Phone (850) 626-5272

5992 Berryhill Rd
Ste 204
Milton, FL 32570
Phone (877) 232-2717

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Jan 27, 2014
Corporate DirectorPresident/Board Member Jan 1, 2020
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 15, 2017
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
Health Management Associates LLC Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 27, 2014 99%
William Bradley Cash Individual Corporate OfficerExec VP Jun 1, 2018
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%
Florida Hma Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Jan 27, 2014 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Vernon Sills Individual W-2 Managing EmployeeCeo Feb 2, 2015
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP Jan 6, 2020
Health Management Associates LP Organization, Franklin, TN 5% Or Greater Indirect Ownership Interest Jan 27, 2014 99%
Paula M Lalor Individual Corporate DirectorDirector PFS/Delegated Official Apr 8, 2017
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Christopher G Cobb Individual Corporate OfficerVP/Secretary Jan 27, 2014
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 27, 2014 100%

Facilities with the same owner 120

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

  • Crestview Hospital Company, LLC

    dba North Okaloosa Medical Center

    • General Acute Care Hospital
    • Crestview, FL
    • NPI 1104897859

    CHS Community Health Systems Inc, Community Health Systems Inc

    CMS ownership
  • Crestview Hospital Company, LLC

    dba Gateway Medical Clinic

    • Rural Health Clinic/Center
    • Crestview, FL
    • NPI 1659348712

    CHS Community Health Systems Inc, Community Health Systems Inc

    CMS ownership
  • Key West Hma LLC

    dba Lower Keys Medical Center

    • General Acute Care Hospital
    • Key West, FL
    • NPI 1619922077

    CHS Community Health Systems Inc, Community Health Systems Inc, Florida Hma Holdings LLC, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Key West Hma LLC

    dba Lower Keys Medical Center

    • Psychiatric Hospital Unit
    • Key West, FL
    • NPI 1689614323

    CHS Community Health Systems Inc, Community Health Systems Inc, Florida Hma Holdings LLC, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Naples Hma LLC

    dba Physicians Regional Medical Center-Pine Ridge

    • General Acute Care Hospital
    • Naples, FL
    • NPI 1316992134

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Naples Hma LLC

    dba Physicians Regional Medical Center - North

    • Rehabilitation Hospital Unit
    • Naples, FL
    • NPI 1780313775

    CHS Community Health Systems Inc, Community Health Systems Inc, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Port Charlotte Hma Physician Management LLC

    dba Shorepoint Obstetrics and Gynecology- RHC

    • Rural Health Clinic/Center
    • Arcadia, FL
    • NPI 1730672379

    CHS Community Health Systems Inc, Community Health Systems Inc, Florida Hma Holdings LLC, Health Management Associates LLC, Health Management Associates LP, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • General Acute Care Hospital
    • Birmingham, AL
    • NPI 1023061405

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Psychiatric Hospital Unit
    • Birmingham, AL
    • NPI 1043263221

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Affinity Hospital LLC

    dba Grandview Medical Center

    • Rehabilitation Hospital Unit
    • Birmingham, AL
    • NPI 1720001019

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Bluffton, IN
    • NPI 1356839591

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
  • Bluffton Health System LLC

    dba Bluffton Regional Medical Center

    • General Acute Care Hospital
    • Bluffton, IN
    • NPI 1376594366

    CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC

    CMS ownership
View all 120

Subparts reporting this organization as parent 2

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

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 201

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

View all 201

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1528015302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705062",
            "telephone_number": "850-626-7762",
            "fax_number": "850-623-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705062",
            "telephone_number": "850-623-7762",
            "fax_number": "850-623-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMA SANTA ROSA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "424",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010174500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.