Provider Demographics
NPI:1194766261
Name:FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES
Entity type:Organization
Organization Name:FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-949-5500
Mailing Address - Street 1:1850 STATE STREET
Mailing Address - Street 2:FLOYD MEM HOSP & HEALTH SVC FHM SKILLED NURSING FAC
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4990
Mailing Address - Country:US
Mailing Address - Phone:812-949-5668
Mailing Address - Fax:812-949-5696
Practice Address - Street 1:1850 STATE STREET
Practice Address - Street 2:FLOYD MEM HOSP & HEALTH SVC FHM SKILLED NURSING FAC
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4990
Practice Address - Country:US
Practice Address - Phone:812-949-5673
Practice Address - Fax:812-949-7561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
155476Medicare ID - Type Unspecified