MEDICARE: SEBRING HOSPITAL MANAGEMENT ASSOCIATES 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
1	282N00000X	General Acute Care Hospital	4321	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	547	OTHER	FL	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952344772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEBRING HOSPITAL MANAGEMENT ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	3600 S HIGHLANDS AVE
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-5416
Country	:	US
Telephone Number	:	863-471-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 S HIGHLANDS AVE
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-5416
Country	:	US
Telephone Number	:	863-471-5800
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	LAURIE HOLTSFORD
Credential	:
Telephone Number	:	615-465-7466

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	08/31/2016

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