Active NPI
Edward White Hospital, Inc.
Doing business as Edward White Hospital
- General Acute Care Hospital
- St Petersburg, FL
National Provider Identifier
1881648392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- EDWARD WHITE HOSPITAL, INC.
- Doing business as
- Edward White Hospital
- Practice address
- 2323 9TH Ave N
St Petersburg, FL 33713-6832 - Phone
- (727) 323-1111
- Fax
- (727) 528-6135
- NPI assigned
- May 20, 2006
- Last updated
- Sep 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Drew Strauch
- Title
- Cfo
- Phone
- (727) 328-6157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | NU | Primary |
Addresses
Primary practice location
2323 9TH Ave N
St Petersburg, FL 33713-6832
Mailing address
2323 9TH Ave N
St Petersburg, FL 33713-6832
Phone (727) 323-1111
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0239N | Medicaid | AL | |
| 039285600 | Other | BLACK LUNG | |
| 573 | Other | FL | BLUE CROSS |
| 404861465 | Medicaid | MI | |
| 02856339 | Medicaid | NY | |
| 998732796A | Medicaid | GA | |
| 569153429A | Medicaid | GA | |
| 010259800 | Medicaid | FL | |
| 304861456 | Medicaid | MI | |
| 000037934 | Other | FL | HUMANA |
| 0473104 | Other | AETNA | |
| 20093 | Other | WELLCARE/STAYWELL |
Other names 1
- EDWARD WHITE HOSPITAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1881648392. Details of each certification follow.
Hospital certification: CCN 100239
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- EDWARD WHITE HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Nov 24, 2014
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Mar 8, 1976
- Last certification
- Sep 28, 2007
- Beds
- 162
- Ownership / control type
- Private (for profit)
- Facility address
- 2323 9TH Ave N
Saint Petersburg, FL 33713
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346889600000",
"number": "1881648392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 9TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337136832",
"telephone_number": "727-323-1111",
"fax_number": "727-528-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 9TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337136832",
"telephone_number": "727-323-1111",
"fax_number": "727-528-6135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD WHITE HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2012-09-06",
"status": "A",
"authorized_official_last_name": "STRAUCH",
"authorized_official_first_name": "DREW",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "727-328-6157"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0239N",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "039285600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "573",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "404861465",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02856339",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "998732796A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "569153429A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010259800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304861456",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000037934",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0473104",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE/STAYWELL",
"identifier": "20093",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EDWARD WHITE HOSPITAL",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in St Petersburg, FL
- Paul V Edmunds, OTRL
- Educated Patient, LLC
- Educated Play, Inc. (Therapy Playhouse)
- Educated Play, Inc. (Therapy Playhouse)
- Edward White Hospital, Inc. (Edward White Hospital)
- Patricia L Edwards-Hare, MPH, RD
- Amy Leigh Edwards, PHYSICIAN ASSISTANT
- Briauna Edwards
- Cecelia Edwards, CCC-SLP
- Regina Edwards, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.