Organization Active NPI

Memorial Hospital-West Volusia Inc

Doing business as AdventHealth Medical Group

  • Multi-Specialty Clinic/Center
  • Deland, FL
National Provider Identifier
1669639415
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MEMORIAL HOSPITAL-WEST VOLUSIA INC
Doing business as
AdventHealth Medical Group
DeLand Medical Associates
Practice address
701 W Plymouth Ave
Deland, FL 32720-3236
Phone
(386) 943-4476
Fax
(386) 943-3685
NPI assigned
May 20, 2008
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITAL WEST VOLUSIA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Jonathan Armstrong
Title
Cfo
Phone
(407) 497-8195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

701 W Plymouth Ave
Deland, FL 32720-3236

Mailing address

PO Box 864623
Orlando, FL 32886-4623
Phone (386) 671-4519

Other names 2

  • AdventHealth Medical Group Doing business as
  • DeLand Medical Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Healthcare Partners Mem

Locations

1070 N Stone St
Ste A
Deland, FL 32720
Phone (386) 943-7100

1070 N Stone St
Ste B
Deland, FL 32720
Phone (386) 734-3654

1070 N Stone St
Ste E
Deland, FL 32720
Phone (386) 738-5300

1431 Orange Camp Rd
Ste 118
Deland, FL 32724
Phone (386) 740-4054

151 Victoria Commons Blvd
Ste 102
Deland, FL 32724
Phone (386) 740-4082

151 Victoria Commons Blvd
Ste 104
Deland, FL 32724
Phone (386) 740-4083

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1669639415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864623",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864623",
            "telephone_number": "386-671-4519",
            "fax_number": "386-672-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203236",
            "telephone_number": "386-943-4476",
            "fax_number": "386-943-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL-WEST VOLUSIA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL WEST VOLUSIA INC",
        "enumeration_date": "2008-05-20",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-497-8195"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DeLand Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DeLand Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.