Healthcare Provider Details

I. General information

NPI: 1508810599
Provider Name (Legal Business Name): ENGLEWOOD COMMUNITY HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 03/30/2022
Certification Date: 03/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MEDICAL BLVD
ENGLEWOOD FL
34223-3964
US

IV. Provider business mailing address

700 MEDICAL BLVD
ENGLEWOOD FL
34223-3964
US

V. Phone/Fax

Practice location:
  • Phone: 941-475-6571
  • Fax: 941-473-5015
Mailing address:
  • Phone: 941-475-6571
  • Fax: 941-473-5015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: VICKIE MAGUREAN
Title or Position: CFO
Credential:
Phone: 941-624-8122