Healthcare Provider Details
I. General information
NPI: 1922917384
Provider Name (Legal Business Name): MEMORIAL HOSPITAL-WEST VOLUSIA INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
151 VICTORIA COMMONS BLVD STE 100
DELAND FL
32724-7722
US
IV. Provider business mailing address
770 W GRANADA BLVD STE 203
ORMOND BEACH FL
32174-5179
US
V. Phone/Fax
- Phone: 386-740-4020
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JONATHAN
MICHAEL
ARMSTRONG
Title or Position: CFO
Credential:
Phone: 386-943-4874