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NPI Code Detail

MEDICARE: PASCO REGIONAL MEDICAL CENTER, LLC

MEDICARE: PASCO REGIONAL MEDICAL CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356336069
Entity Type Code : Organization
Provider Name (Legal Business Name) : PASCO REGIONAL MEDICAL CENTER, LLC
Provider Business Mailing Address
First Line : 13100 FORT KING RD
Second Line :
City : DADE CITY
State : FL
Zip : 33525-5294
Country : US
Telephone Number : 352-521-1000
Fax Number : 352-521-4028
Provider Business Practice Location Address
First Line : 13100 FORT KING RD
Second Line :
City : DADE CITY
State : FL
Zip : 33525-5294
Country : US
Telephone Number : 352-521-1000
Fax Number : 352-521-4028
Authorized Official
Title or Position : DIRECTOR/DELEGATED OFFICIAL
Name : PAULA LALOR
Credential :
Telephone Number : 615-925-4565
Provider Enumeration Date : 09/19/2005
Last Update Date : 02/08/2018

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Directions to “PASCO REGIONAL MEDICAL CENTER, LLC ” Practice Location

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