MEDICARE: MORTON PLANT HOSPITAL ASSOCIATION INC

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
1	273Y00000X	Rehabilitation Hospital Unit	4216	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1578549432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORTON PLANT HOSPITAL ASSOCIATION INC

Provider Business Mailing Address
First Line	:	6600 MADISON ST
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-1971
Country	:	US
Telephone Number	:	727-843-4500
Fax Number	:	727-848-8762

Provider Business Practice Location Address
First Line	:	6600 MADISON ST
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-1971
Country	:	US
Telephone Number	:	727-843-4500
Fax Number	:	727-848-8762

Authorized Official
Title or Position	:	CFO, BAYCARE HOSPITAL DIVISION
Name	:	MR. CARL TREMONTI
Credential	:
Telephone Number	:	727-462-7176

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	10/21/2013

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