=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992968150
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NAPLES COMMUNITY HOSPITAL INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2008
-----------------------------------------------------
Last Update Date | 03/10/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 350 7TH ST N
-----------------------------------------------------
City | NAPLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34102-5754
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-624-5000
-----------------------------------------------------
Fax | 239-624-6411
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 350 7TH ST N
-----------------------------------------------------
City | NAPLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34102-5754
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-513-7144
-----------------------------------------------------
Fax | 239-513-7079
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPERATIONS DIRECTOR OF REVENUE CYCL
-----------------------------------------------------
Name | SANDRA WOOD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 239-624-6407
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 283Q00000X
-----------------------------------------------------
Taxonomy Name | Psychiatric Hospital
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------