Organization Active NPI

Citrus Memorial Health Foundation Inc

  • Family Medicine Physician
  • Homosassa, FL
National Provider Identifier
1659681013
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CITRUS MEMORIAL HEALTH FOUNDATION INC
Practice address
7945 S Suncoast Blvd
Suite a
Homosassa, FL 34446-5005
Phone
(352) 382-5000
NPI assigned
Oct 19, 2010
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Mr. Ryan D Beaty
Title
Ceo
Phone
(352) 344-7650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7945 S Suncoast Blvd
Suite a
Homosassa, FL 34446-5005

Mailing address

123 S Seminole Ave
Inverness, FL 34452-4735
Phone (352) 344-6481

National Provider Directory

National Provider Directory
Tax ID family
DRS Jenkins and Dodge P2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7945 S Suncoast Blvd
Ste A
Homosassa, FL 34446
Phone (352) 382-5000

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1659681013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S SEMINOLE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524735",
            "telephone_number": "352-344-6481",
            "fax_number": "352-344-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 S SUNCOAST BLVD",
            "address_2": "SUITE A",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465005",
            "telephone_number": "352-382-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS MEMORIAL HEALTH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-344-7650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homosassa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.