NPIMap

Memorial Hospital Flagler Inc

Organization Active NPI General Acute Care Hospital · Palm Coast, FL

NPI 1679678486 · NPPES record last updated Aug 8, 2024

Key facts

NPI
1679678486
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
4465 (FL)
Legal business name
MEMORIAL HOSPITAL FLAGLER INC
Practice address
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone
(386) 586-2000
NPI assigned
Sep 14, 2006
Organization subpart
No

Authorized official

Name
Mr. Mark Rathbun
Title
Chief Financial Officer
Phone
(386) 586-4301

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Corporate family (same tax ID) 3

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

Facilities with the same owner 88

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

View all 88

Practitioners 103

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 103

Affiliated clinicians 771

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

View all 771

Medicare Care Compare: Hospital

Listed as
AdventHealth Palm Coast CCN 100118
Overall star rating
★★★★★ 5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Hospital certification: CCN 100118

Legal name
MEMORIAL HOSPITAL FLAGLER INC
Doing business as
ADVENTHEALTH PALM COAST
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 1, 1980
Last certification
Jul 30, 2021
Beds
99
Ownership / control type
Church
Organization structure
Corporation · Non-profit
Incorporated
May 31, 1989 in FL
Enrollment address
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

All disclosed owners & managing parties 34

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

NameRoleSinceShare
Richard V Cashio
Individual 		Corporate Director
Director		 Dec 12, 2024
Jessica Brazier
Individual 		Corporate Director
Director		 Jun 10, 2023
Michele Goeb-Burkett
Individual 		Corporate Director
Director		 Jun 10, 2023
Debora H Thomas
Individual 		Corporate Officer
Secretary, Assistant Secretary		 Aug 24, 2023
Corporate Director
Director		 Aug 24, 2023
Douglas Hilliard
Individual 		Corporate Officer
Assistant Secretary		 Aug 21, 2025
Jeffrey Graff
Individual 		Corporate Officer
Assistant Secretary		 Sep 1, 2019
Diane Godfrey
Individual 		Corporate Officer
Assistant Secretary		 Dec 11, 2025
Mark Rathbun
Individual 		Contracted Managing Employee
Chief Financial Officer		 Aug 17, 2020
Corporate Officer
Treasurer		 Apr 8, 2021
Operational/Managerial Control
Chief Financial Officer		 Aug 17, 2020
Robert Deininger
Individual 		Corporate Officer
Assistant Secretary, Chair		 Aug 21, 2025
Corporate Director
Director		 Jun 13, 2025
Kari Vargas
Individual 		Corporate Director
Director		 Dec 12, 2024
Laura Gilvary
Individual 		Corporate Director
Director		 Apr 4, 2024
Michael Chiumento
Individual 		Corporate Director
Director		 Dec 12, 2024
Marisa Farabaugh
Individual 		Corporate Officer
Assistant Secretary		 Apr 9, 2026
Michael Saunders
Individual 		Corporate Officer
Assistant Secretary		 Sep 1, 2019
Ellen Wahl
Individual 		Corporate Director
Director		 Dec 11, 2025
Adventist Health System Sunbelt Healthcare Corporation
Organization · Altamonte Springs, FL
Corporation, Non-profit, Chain home office 		5% Or Greater Indirect Ownership Interest Oct 1, 2000 100%
Tanam S Ahmed
Individual 		Corporate Director
Director		 Jan 1, 2026
Amanda Brady
Individual 		Corporate Officer
Assistant Secretary		 Aug 25, 2022
Toni Berrios
Individual 		Corporate Officer
Assistant Secretary		 Aug 25, 2022
Haney Vincent
Individual 		Corporate Officer
Assistant Secretary		 Dec 9, 2021
Douglas Pytlinski
Individual 		Corporate Officer
Assistant Secretary		 Apr 9, 2026
Todd a Goodman
Individual 		Corporate Officer
Assistant Secretary		 Sep 14, 2019
Lorenzo Brown
Individual 		Corporate Officer
Vice Chair		 Apr 9, 2026
Corporate Director
Director		 Apr 9, 2026
David L Huffman
Individual 		Corporate Officer
Assistant Secretary		 Feb 27, 2020
Robert C Foltz
Individual 		Corporate Officer
Assistant Secretary		 Sep 11, 2014
Daniel T McDermott
Individual 		Corporate Director
Director		 Dec 12, 2024
Lynn Addiscott
Individual 		Corporate Officer
Assistant Secretary		 Sep 1, 2019
Walmir de Aquino
Individual 		Corporate Officer
Vice Chair		 Dec 11, 2025
Corporate Director
Director		 Jun 10, 2023
Randall Haffner
Individual 		Corporate Officer
Assistant Secretary		 Apr 8, 2021
Corporate Director
Director		 Apr 8, 2021
Memorial Health Systems Inc
Organization · Daytona Beach, FL
Corporation, Non-profit, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Jul 1, 1991 100%
Denyse Bales-Chubb
Individual 		Contracted Managing Employee
Chief Executive Officer		 Jun 19, 2022
Corporate Officer
Secretary, President		 Jul 21, 2022
Corporate Director
Director		 Jun 10, 2023
Operational/Managerial Control
Chief Executive Officer		 Jun 19, 2022
Alvin B Jackson
Individual 		Corporate Director
Director		 Dec 11, 2025
Beverly Morgan
Individual 		Corporate Officer
Assistant Secretary		 Aug 21, 2025
Adventist Health System Sunbelt Inc
Organization · Altamonte Springs, FL
Corporation, Non-profit, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Oct 1, 2000 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040922000189 FL Part a Provider - Hospital 1759371594 Practice locations: Palm Coast, FL; Saint Augustine, FL
O20251021001736 FL Part B Supplier - Intensive Cardiac Rehabilitation 1759371594 Practice locations: Palm Coast, FL

National Provider Directory

Tax ID family
Florida Hospital Healthcare Partners Inc (4 organizations share this tax ID)

Locations (25 of 35)

4860 Y St
Ste 500
Sacramento, CA 95817
Phone (916) 734-3171

700 E Moody Blvd
Bunnell, FL 32110
Phone (386) 437-2481

901 E Moody Blvd
Bunnell, FL 32110

703 E Moody Blvd
Bunnell, FL 32110
Phone (386) 437-3091

201 Hilda St
Ste 20
Kissimmee, FL 34741
Phone (407) 944-3104

901 North Lake Destiny Rd
Ste 400
Maitland, FL 32751
Phone (407) 200-2860

770 W Granada Blvd
Ste 319
Ormond Beach, FL 32174
Phone (386) 673-3121

150 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (386) 586-1500

61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810

61 Memorial Medical Pkwy
Ste 280
Palm Coast, FL 32164

3 Adventhealth Way
Ste 130
Palm Coast, FL 32137
Phone (386) 586-1930

13 Kingswood Dr
#B
Palm Coast, FL 32137

3 Adventhealth Way
Ste 110
Palm Coast, FL 32137
Phone (386) 586-2453

61 Memorial Medical Pkwy
Ste 3812
Palm Coast, FL 32164
Phone (386) 586-1770

120 Cypress Edge Dr
Ste 103
Palm Coast, FL 32164
Phone (386) 586-1650

61 Memorial Medical Pkwy
Ste B
Palm Coast, FL 32164
Phone (386) 447-7779

26 Office Park Dr
#B
Palm Coast, FL 32137
Phone (386) 446-9966

21 Hospital Dr
Ste 120A
Palm Coast, FL 32164
Phone (386) 586-4280

60 Memorial Medical Pkwy
Ste 1500
Palm Coast, FL 32164
Phone (386) 586-4480

61 Memorial Medical Pkwy
Ste 3802
Palm Coast, FL 32164
Phone (386) 437-2481

120 Cypress Edge Dr
Ste 203
Palm Coast, FL 32164
Phone (386) 586-4390

61 Memorial Medical Pkwy
Ste 2804
Palm Coast, FL 32164
Phone (386) 586-0035

3 Adventhealth Way
#210
Palm Coast, FL 32137

3 Adventhealth Way
Ste 120
Palm Coast, FL 32137
Phone (386) 586-1995

1 Memorial Medical Pkwy
Ste 100
Palm Coast, FL 32164
Phone (386) 586-2060

Networks

  • Optimum HealthCare HMO Network
    Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO Network
    Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4465 FL Yes

Addresses

Primary practice location

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980

Mailing address

770 W Granada Blvd Ste 203
Ormond Beach, FL 32174-5179
Phone (386) 312-4252

Other identifiers

IdentifierTypeStateIssuer
59387OtherFLAETNA HMO
6200175OtherFLAETNA PPO
5000093OtherFLUHC
010189300MedicaidFL
323OtherFLBLUE CROSS

Other names

  • AdventHealth Palm Coast Doing business as
  • Florida Hospital Flagler Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
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 Palm Coast, FL

All providers in Palm Coast, FL · General Acute Care Hospital in Florida

Sources for this page

Verify at the official NPI Registry.