Memorial Hospital-West Volusia Inc
Organization Active NPI General Acute Care Hospital · Deland, FL
NPI 1649367269 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1649367269
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 4436 (FL)
- Legal business name
- MEMORIAL HOSPITAL-WEST VOLUSIA INC
- Practice address
- 701 W. Plymouth Avenue
Deland, FL 32720-3236 - Phone
- (386) 943-4522
- Fax
- (386) 943-3674
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Jonathan Armstrong
- Title
- Cfo
- Phone
- (407) 497-8195
Owners & managing parties with NPI records 5
-
Justin James McNamee, JUSTIN MCNAMEE D.O.
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 3
Related certifications (CCN) 1
Facilities with the same owner 88
Practitioners 96
-
Rana Abusoufeh, M.D
-
Kauser Akhter, M.D.
-
Michelle Lee Caro, APRN FNP-C
-
Jason Chen, M.D.
-
Edwin Cheung, MD
-
Michael Jos Donohoe, M.D.
-
Leonel Edwards, M.D.
-
Samuel M Edwards, M. D.
-
Candice Michele Ings, APRN
-
Crystal P Jenkins, M.D.
-
Erica Michelle Lapinsky, APRN
-
Marielle Bazile Lazard, M.D.
-
Bo Lin, M.D., PH.D.
-
Aftab Qadir, M.D.
-
Andrew Jerome Randolph, M.D., P.A.
Affiliated clinicians 762
-
Rana Abusoufeh, M.D
-
Abhishek Achar, DO
-
Tyler M Ackley, CRNA
-
Amanda Faye Adkins, ARNP-C
-
Syed Adil Aftab, M.D.
-
Damaris Age, PA-C
-
Gaurav Ahluwalia, MD
-
Syed Bilal Ahmed, M.D.
-
Karuna Ahuja, MD FCCP
-
Ratan K Ahuja, MD FACC
-
Rajesh K Ailani, M.D.
-
Bushra Ajaz, MD
-
Kauser Akhter, M.D.
-
Erinc Akture, M.D.
-
Ahmed Al-Hazzouri, M.D.
-
Osama Ali, M.D.
-
Sohail H Ali, M.D.
-
Aftaab Aliahmad, MD
-
Courtney Nicole Allen, APRN
-
Emma Lynel Allende, APRN
-
Ram M Amilineni, M.D.
Medicare Care Compare: Hospital
- Listed as
- Adventhealth Deland
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Hospital certification: CCN 100045
- Legal name
- MEMORIAL HOSPITAL-WEST VOLUSIA INC
- Doing business as
- ADVENTHEALTH DELAND
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jun 17, 2019
- Beds
- 170
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 16, 1994 in FL
- Enrollment address
- 701 W Plymouth Ave
Deland, FL 32720-3236 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 36
| Name | Role | Since | Share |
|---|---|---|---|
| Debora H Thomas |
Corporate Officer |
Aug 24, 2023 | |
| Corporate Director |
Aug 21, 2025 | ||
| Doreen Courtheyn |
Corporate Director |
Dec 6, 2012 | |
| Douglas Hilliard |
Corporate Officer |
Aug 21, 2025 | |
| Corporate Director |
Aug 21, 2025 | ||
| Jeffrey Graff |
Corporate Officer |
Sep 11, 2014 | |
| Diane Godfrey |
Corporate Officer |
Jan 1, 2026 | |
| Savannah-Jane Griffin |
Corporate Director |
Jan 1, 2026 | |
| Robert Deininger |
Corporate Officer |
Aug 21, 2025 | |
| Corporate Director |
Jun 13, 2025 | ||
| Christopher S Dibello |
Corporate Director |
Dec 9, 2021 | |
| Michael J Woods |
Corporate Director |
Jan 1, 2020 | |
| Marisa Farabaugh |
Corporate Officer |
Apr 9, 2026 | |
| Michael Saunders |
Corporate Officer |
Sep 14, 2017 | |
| Khelsea Bauer |
Contracted Managing Employee | Feb 23, 2025 | |
| Corporate Officer |
Aug 21, 2025 | ||
| Corporate Director |
Feb 23, 2025 | ||
| Operational/Managerial Control |
Feb 23, 2025 | ||
| Matthew Maniscalco |
Corporate Director |
Apr 9, 2026 | |
| Adventist Health System Sunbelt Healthcare Corporation |
5% Or Greater Indirect Ownership Interest | Oct 1, 2000 | 100% |
| Amanda Brady |
Corporate Officer |
Feb 27, 2020 | |
| Toni Berrios |
Corporate Officer |
Aug 25, 2022 | |
| Haney Vincent |
Corporate Officer |
Aug 21, 2025 | |
| Jonathan Armstrong |
Contracted Managing Employee | May 5, 2024 | |
| Corporate Officer |
Aug 21, 2025 | ||
| Operational/Managerial Control |
May 5, 2024 | ||
| Barbara Girtman |
Corporate Director |
Jan 1, 2024 | |
| Elizabeth Skomp |
Corporate Director |
Apr 9, 2026 | |
| Douglas Pytlinski |
Corporate Officer |
Apr 9, 2026 | |
| Todd a Goodman |
Corporate Officer |
Sep 14, 2017 | |
| Lorenzo Brown |
Corporate Officer |
Aug 21, 2025 | |
| Corporate Director |
Dec 8, 2016 | ||
| Chojaa Ghosn |
Corporate Director |
Aug 24, 2023 | |
| David L Huffman |
Corporate Officer |
Feb 27, 2020 | |
| Albert L Bouie |
Corporate Director |
Dec 9, 2021 | |
| Robert C Foltz |
Corporate Officer |
Sep 11, 2014 | |
| Justin J McNamee |
Corporate Director |
Jan 1, 2026 | |
| Lynn Addiscott |
Corporate Officer |
Aug 18, 2005 | |
| Randall Haffner |
Corporate Director |
Aug 21, 2025 | |
| William Flowers |
Corporate Director |
Mar 1, 2007 | |
| Memorial Health Systems Inc |
5% Or Greater Direct Ownership Interest | Jul 28, 1994 | 100% |
| Sue-Ellen Elizabeth Griffith |
Corporate Director |
Aug 24, 2023 | |
| Beverly Morgan |
Corporate Officer |
Aug 21, 2025 | |
| Adventist Health System Sunbelt Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2000 | 100% |
| Eric Lunde |
Corporate Director |
Aug 24, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060131000428 | FL | Part a Provider - Hospital | 5991763724 | Practice locations: Deland, FL; Orange City, FL |
| O20220825002370 | FL | Part B Supplier - Intensive Cardiac Rehabilitation | 5991763724 | Practice locations: Deland, FL |
National Provider Directory
- Tax ID family
- Florida Hospital Healthcare Partners Inc
Locations
999 N Stone St
Ste B
Deland, FL 32720
Phone (386) 740-4015
151 Victoria Commons Blvd
Ste 104
Deland, FL 32724
Phone (386) 740-4083
151 Victoria Commons Blvd
Ste 100
Deland, FL 32724
Phone (386) 740-4020
225 S Woodland Blvd
Ste 109
Deland, FL 32720
Phone (386) 943-3093
151 Victoria Commons Blvd
Ste 107
Deland, FL 32724
Phone (386) 943-4690
151 Victoria Commons Blvd
Ste 101
Deland, FL 32724
Phone (386) 943-4682
151 Victoria Commons Blvd
Ste 106
Deland, FL 32724
Phone (386) 740-4040
777 Deltona Blvd
Ste 2
Deltona, FL 32725
Phone (386) 860-3791
1061 Medical Center Dr
Ste 101
Orange City, FL 32763
Phone (386) 917-5547
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiac Rehabilitation Clinic/Center | 261QR0404X | |||
| Psychiatric Hospital Unit | 273R00000X | |||
| General Acute Care Hospital | 282N00000X | 4436 | FL | Yes |
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
701 W. Plymouth Avenue
Deland, FL 32720-3236
Mailing address
770 W Granada Blvd Ste 203
Ormond Beach, FL 32174-5179
Phone (386) 943-4522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 326 | Other | FL | BLUE CROSS |
| 6200305 | Other | FL | AETNA PPO |
| 010187700 | Medicaid | FL | |
| 07283 | Other | FL | AETNA HMO |
Other names
- AdventHealth DeLand
- Florida Hospital DeLand
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mettles.com/ | Other | |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | HIH |
Other providers in Deland, FL
- Kenneth Medley
- Lauren Meinelt
- Memorial Hospital-West Volusia Inc
- Memorial Hospital-West Volusia Inc
- Memorial Hospital-West Volusia Inc
- Memorial Hospital-West Volusia Inc
- Memorial Hospital-West Volusia Inc
- Gina Mendez
- Ivan Menezes
- Kathleen Menocal
All providers in Deland, FL · General Acute Care Hospital in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.