Summit Health Plan, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

05- Issued in FL

Legal business name

SUMMIT HEALTH PLAN, INC.

Practice address

300 S Park Rd
Hollywood, FL 33021-8593

Phone

(954) 962-3008

NPI assigned

Jan 16, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Darcey A. Gartner, CHC

Title

Vice President of Compliance

Phone

(954) 965-3118

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932188125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PARK RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218593",
            "telephone_number": "954-962-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PARK RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218593",
            "telephone_number": "954-962-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTH PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARTNER",
        "authorized_official_first_name": "DARCEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF COMPLIANCE",
        "authorized_official_telephone_number": "954-965-3118",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CHC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "05-",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.