=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922940493
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ENGLEWOOD COMMUNITY HOSPITAL, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2026
-----------------------------------------------------
Last Update Date | 04/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7070 S TAMIAMI TRL
-----------------------------------------------------
City | VENICE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34293-5114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-236-9535
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7070 S TAMIAMI TRL
-----------------------------------------------------
City | VENICE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34293-5114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-236-9535
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | KELLY MARIE LINDSAY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 941-475-6571
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QE0002X
-----------------------------------------------------
Taxonomy Name | Emergency Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------