Provider Demographics
NPI:1720085137
Name:NAPLES COMMUNITY HOSPITAL INC
Entity type:Organization
Organization Name:NAPLES COMMUNITY HOSPITAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIR. OF MANAGED CARE & DATA ANALYTI
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KROHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-624-6340
Mailing Address - Street 1:350 7TH ST N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5754
Mailing Address - Country:US
Mailing Address - Phone:239-463-5000
Mailing Address - Fax:239-513-7049
Practice Address - Street 1:350 7TH ST N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5754
Practice Address - Country:US
Practice Address - Phone:239-624-5000
Practice Address - Fax:239-624-4611
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAPLES COMMUNITY HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4113282N00000X, 283Q00000X, 283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No283Q00000XHospitalsPsychiatric Hospital
No283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010031500Medicaid
FL010031500Medicaid
FL10T018Medicare Oscar/Certification
FL10S018Medicare Oscar/Certification