Florence Hospital, LLC

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

APPLIED FOR Issued in AZ

Legal business name

FLORENCE HOSPITAL, LLC

Doing business as

Florence Community Healthcare

Practice address

1300 E State St
Suite 102
Eagle, ID 83616-7059

Phone

(520) 494-3237

Fax

(520) 868-3329

NPI assigned

Nov 3, 2009

Last updated

Nov 2, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTHCARE OF FLORENCE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Stephen R Huey

Title

Chief Financial Officer

Phone

(520) 494-3237

Specialties & licenses 1

Addresses

Other names 1

• Florence Community Healthcare Doing business as

Locations

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1639406267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E STATE ST",
            "address_2": "SUITE 102",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167059",
            "telephone_number": "520-494-3237",
            "fax_number": "520-868-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E STATE ST",
            "address_2": "SUITE 102",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167059",
            "telephone_number": "520-494-3237",
            "fax_number": "520-868-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE HOSPITAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHCARE OF FLORENCE, LLC",
        "enumeration_date": "2009-11-03",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "HUEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "520-494-3237",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AZ",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florence Community Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dani A Forbess, NTP

• Critical Access Hospital in Eagle, ID
• Providers in Eagle, ID by specialty
• Critical Access Hospital in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.