Provider Demographics
NPI:1194751701
Name:GRANT CENTER HOSPITAL OF OCALA INC
Entity type:Organization
Organization Name:GRANT CENTER HOSPITAL OF OCALA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-671-5700
Mailing Address - Street 1:1842 JACLIF CT
Mailing Address - Street 2:STE B
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4400
Mailing Address - Country:US
Mailing Address - Phone:850-671-5700
Mailing Address - Fax:850-671-3023
Practice Address - Street 1:1842 JACLIF CT
Practice Address - Street 2:STE B
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4400
Practice Address - Country:US
Practice Address - Phone:850-671-5700
Practice Address - Fax:850-671-3023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K7002Medicare PIN