Organization Name: | MARINERS HOSPITAL INC |
NPI Number: | 1518941806 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICK FREEBURG (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 91500 Overseas Hwy Tavernier |
State: | FL US |
Postal Code: | 330702547 |
Phone Number: | 3054343000 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2005 |
NPI Last Update Date: | 04/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 4061 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |