SHANDS LAKE SHORE REGIONAL MEDICAL CENTER; NPI #1962758342

Contact Information

SHANDS LAKE SHORE REGIONAL MEDICAL CENTER

368 NE FRANKLIN ST
LAKE CITY, FL 32055-3088

Phone: 386-292-8120
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for SHANDS LAKE SHORE REGIONAL MEDICAL CENTER

NPI Number 1962758342

LBN Legal business name SHANDS LAKE SHORE REGIONAL MEDICAL CENTER

Authorized official RHONDA SHARROD - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/03/2012

Last updated 08/03/2012 - About 14 years ago

Identifiers

License #

ME112455

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SHANDS LAKE SHORE REGIONAL MEDICAL CENTER

Contact Information

Specialty

Children

NPI Profile & details for SHANDS LAKE SHORE REGIONAL MEDICAL CENTER

Reviews for SHANDS LAKE SHORE REGIONAL MEDICAL CENTER