Central Florida Regional Hospital, Inc.
Organization Active NPI Emergency Care Clinic/Center · Deland, FL
NPI 1962342147 · NPPES record last updated Mar 30, 2026
Key facts
- NPI
- 1962342147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Care Clinic/Center 261QE0002X
- Legal business name
- CENTRAL FLORIDA REGIONAL HOSPITAL, INC.
- Practice address
- 2490 S Woodland Blvd
Deland, FL 32720-8636 - Phone
- (386) 327-9400
- NPI assigned
- Mar 30, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- CENTRAL FLORIDA REGIONAL HOSPITAL, INC.
Authorized official
- Name
- John Gerhold
- Title
- Ceo
- Phone
- (407) 302-7392
Corporate family (same tax ID) 8
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2321412 | HCA Florida West Volusia Emergency a Part of HCA | Registration | Apr 2, 2027 |
National Provider Directory
- Tax ID family
- Central Florida Regiona
- Part of
- Central Florida Regiona
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Yes |
Addresses
Primary practice location
2490 S Woodland Blvd
Deland, FL 32720-8636
Mailing address
2490 S Woodland Blvd
Deland, FL 32720-8636
Phone (386) 327-9400
Other names
- HCA Florida West Volusia Emergency, a department of HCA Florida Lake Monroe Hospital
NPI Registry JSON
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774828800000",
"number": "1962342147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 S WOODLAND BLVD",
"city": "DELAND",
"state": "FL",
"postal_code": "327208636",
"telephone_number": "386-327-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 S WOODLAND BLVD",
"city": "DELAND",
"state": "FL",
"postal_code": "327208636",
"telephone_number": "386-327-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FLORIDA REGIONAL HOSPITAL, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTRAL FLORIDA REGIONAL HOSPITAL, INC.",
"enumeration_date": "2026-03-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A",
"authorized_official_last_name": "GERHOLD",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-302-7392"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HCA Florida West Volusia Emergency, a department of HCA Florida Lake Monroe Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Central Florida Quality Care Services, Inc.
- Alexandra Frances Cervantes
- Allen Kenneth Chalk
- Kathleen Chapin
- Scott Chaput
- Laura C Chase
All providers in Deland, FL · Emergency Care Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.