NPIMap

Organization Active NPI

Memorial Health Systems Inc.

Doing business as Florida Hospital Memorial & Medical Center & FH Oceanside

  • Skilled Nursing Facility
  • Ormond Beach, FL
National Provider Identifier
1790153401
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4201 Issued in FL
Legal business name
MEMORIAL HEALTH SYSTEMS INC.
Doing business as
Florida Hospital Memorial & Medical Center & FH Oceanside
Practice address
264 S Atlantic Ave
Ormond Beach, FL 32176-8149
Phone
(386) 943-4522
NPI assigned
Sep 11, 2015
Last updated
Mar 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Cory Domayer
Title
Cfo
Phone
(386) 231-3909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4201 FL Primary

Addresses

Primary practice location

264 S Atlantic Ave
Ormond Beach, FL 32176-8149

Mailing address

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

Other names 1

  • Florida Hospital Memorial & Medical Center & FH Oceanside Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1790153401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL MEDICAL PKWY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175167",
            "telephone_number": "386-231-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S ATLANTIC AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321768149",
            "telephone_number": "386-943-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTH SYSTEMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "DOMAYER",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "386-231-3909"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Hospital Memorial & Medical Center & FH Oceanside",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Hospital Memorial & Medical Center & FH Oceanside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.