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LIVE OAK HMA LLC NPI 1720591613


NPI Information

NPI: 1720591613
Provider Name: LIVE OAK HMA, LLC

Doing Business As: SHANDS LIVE OAK REGIONAL MEDICAL CENTER

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
1100 11TH ST SW
LIVE OAK, FL
ZIP 32064
Phone: (386) 362-0800
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LIVE OAK HMA, LLC is a medicare defined swing bed unit in Live Oak, FL. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. LIVE OAK HMA, LLC NPI is 1720591613. The provider is registered as an organization entity type.
The provider Is Doing Business As Shands Live Oak Regional Medical Center.

The provider's business location address is:

1100 11TH ST SW
LIVE OAK, FL
ZIP 32064-608
Phone: (386) 362-0800

The provider's authorized official is Paula Lalor .
The authorized official title is Director / Delegated Official and has the following contact phone number (615) 925-4565.

The enumeration date for this NPI number is 11/14/2017 and was last updated on 11/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed Unit4314FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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