Provider Demographics
NPI:1699721589
Name:BAY HOSPITAL, INC
Entity type:Organization
Organization Name:BAY HOSPITAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODPASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-747-7140
Mailing Address - Street 1:449 W 23RD ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4507
Mailing Address - Country:US
Mailing Address - Phone:850-769-8341
Mailing Address - Fax:850-747-7107
Practice Address - Street 1:449 W 23RD ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4507
Practice Address - Country:US
Practice Address - Phone:850-769-8341
Practice Address - Fax:850-747-7107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01554012Medicaid
RI100242Medicaid
AR110262105Medicaid
FL11761700Medicaid
NH20001388Medicaid
437OtherBLUE CROSS
44621OtherAMERIGROUP
NJ6881203Medicaid
CAXHSP32728Medicaid
IN100041970AMedicaid
MA1009729Medicaid
MN541223400Medicaid
NMB2844Medicaid
ALHOS0242NMedicaid
VA1002422Medicaid
TX107876801Medicaid
TN0100242Medicaid
PA1524390Medicaid
CO95018529Medicaid
IA0540765Medicaid
SC10702AMedicaid
LA1743020Medicaid
AKHS2IPFLMedicaid
MS00220298Medicaid
KY01290907Medicaid
WY110774700Medicaid
MD209335900Medicaid
220378OtherAVMED
WI81518600Medicaid
WV0171974000Medicaid
OH0569648Medicaid
WA3017241Medicaid
AKHS2IPFLMedicaid