Provider Demographics
NPI:1063466563
Name:NORTHWEST MEDICAL CENTER INC
Entity type:Organization
Organization Name:NORTHWEST MEDICAL CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-974-0400
Mailing Address - Street 1:2801 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5727
Mailing Address - Country:US
Mailing Address - Phone:954-974-0400
Mailing Address - Fax:954-978-4183
Practice Address - Street 1:2801 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5727
Practice Address - Country:US
Practice Address - Phone:954-974-0400
Practice Address - Fax:954-978-4183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
20817OtherWELLCARE/STAYWELL
MI304938650Medicaid
FL010459100Medicaid
GA913828729AMedicaid
030009000OtherBLACK LUNG
OH0633550Medicaid
MI404938669Medicaid
ALNOR0238NMedicaid
FL267OtherBLUE CROSS
FL000030995OtherHUMANA
0021664OtherAETNA