NPIMap

Organization Active NPI

Orange Park Medical Center, Inc.

Doing business as HCA Florida Orange Park Hospital

  • General Acute Care Hospital
  • Orange Park, FL
National Provider Identifier
1689611501
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ORANGE PARK MEDICAL CENTER, INC.
Doing business as
HCA Florida Orange Park Hospital
Practice address
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone
(904) 276-8500
Fax
(904) 276-8610
NPI assigned
May 31, 2006
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Christopher Landry
Title
Cfo
Phone
(904) 639-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2001 Kingsley Ave
Orange Park, FL 32073-5148

Mailing address

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500

Other identifiers 7

IdentifierTypeStateIssuer
000627965XMedicaidGA
11174100MedicaidFL
134OtherFLBLUE CROSS/HOPT
16795OtherFLAMERIGROUP
01497965MedicaidNY
11232AMedicaidSC
044006OtherFLAVMED

Other names 1

  • HCA Florida Orange Park Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address ORANGEPARK.COCOP.FLH@CCDA.HCADIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070813000627 FL Part A Provider - Hospital 7113018698 Practice locations: Jacksonville, FL; Orange Park, FL; Middleburg, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689611501. Details of each certification follow.

Hospital certification: CCN 100226

Legal name
ORANGE PARK MEDICAL CENTER INC
Doing business as
HCA FLORIDA ORANGE PARK HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 18, 1974
Last certification
Apr 11, 2014
Beds
433
Ownership / control type
Other
Organization structure
CorporationProprietary
Enrollment address
2001 Kingsley Ave
Orange Park, FL 32073-5148
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
HCA Florida Orange Park HospitalCCN 100226 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Orange Park Medical Center Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • Direct secure messaging: orangepark.cocop.flh@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 38

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

NameRoleSinceShare
Michael McAlevey Individual Corporate Officer Feb 1, 2022
Jaime L Derensis Individual Corporate Officer Nov 4, 2020
HCA Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 10, 2016 100%
John M Franck Individual Corporate Officer Apr 18, 2016
Corporate Director Jun 29, 2007
Douglas L Downey Individual Corporate Officer Apr 18, 2016
Eric D Smith Individual OtherVice President - Reimbursement Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 10, 2016 100%
Henry Todd Maxwell Individual Corporate Officer Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE Holding company, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Christopher F Wyatt Individual Corporate Officer Apr 18, 2016
Corporate Director Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Officer Apr 18, 2016
Richard Hammett Individual Corporate Officer Jan 1, 2023
John M Hackett Individual Corporate Officer Apr 18, 2016
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 23, 2016 14.4%
Samuel N Hazen Individual Corporate Officer Apr 18, 2016
Corporate Director Aug 16, 2011
James Chad Patrick Individual Corporate Officer Oct 15, 2024
W-2 Managing EmployeeCeo Oct 15, 2024
Ronald Lee Grubbs Individual Corporate Officer Apr 18, 2016
Monica Cintado Individual Corporate Officer Oct 7, 2019
Jon Foster Individual Corporate Officer Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 10, 2016 100%
Galen Holdco LLC Organization, Nashville, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 10, 2016 100%
Christopher Landry Individual W-2 Managing EmployeeCfo Dec 31, 2025
Seth a Killingbeck Individual Corporate Officer Apr 18, 2016
Ricardo Pavon Individual Corporate Officer Oct 26, 2020
Timothy Scott Noonan Individual Corporate Officer Apr 18, 2016
Natalie H Cline Individual Corporate Officer Apr 18, 2016
Michael T Bray Individual Corporate Officer Apr 18, 2016
Matthew R Favicchio Individual Corporate Officer Sep 5, 2025
Peter J Rossell Individual Corporate Officer Jan 1, 2023
Ashley T Lacaze Individual Corporate Officer Apr 15, 2019
Michael a Marks Individual Corporate Officer Sep 5, 2025
Edwin W Robinson Individual Corporate Officer Sep 5, 2025
Brad Ej Spicer Individual Corporate Officer Jan 1, 2023
Hugh Carter Tappan Individual Corporate Officer Apr 18, 2016
Kevin a Ball Individual Corporate Officer Apr 18, 2016
Jeffery McInturff Individual Corporate Officer Nov 29, 2021
Deborah H Mullin Individual Corporate Officer Apr 18, 2016

Facilities with the same owner 63

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

View all 63

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 448

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

View all 448

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1689611501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735148",
            "telephone_number": "904-276-8500",
            "fax_number": "904-276-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735148",
            "telephone_number": "904-276-8500",
            "fax_number": "904-276-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PARK MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "904-639-8500"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000627965X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11174100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/HOPT",
            "identifier": "134",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "16795",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01497965",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11232A",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "044006",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ORANGEPARK.COCOP.FLH@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received.",
            "address_1": "2001 Kingsley Ave",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320735148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HCA Florida Orange Park Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.