Provider Demographics
NPI:1891741849
Name:NEW PORT RICHEY HOSPITAL INC
Entity type:Organization
Organization Name:NEW PORT RICHEY HOSPITAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:WYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-834-4902
Mailing Address - Street 1:9330 STATE ROAD 54
Mailing Address - Street 2:ADMINISTRATION - CFO
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1808
Mailing Address - Country:US
Mailing Address - Phone:727-834-4900
Mailing Address - Fax:727-834-4912
Practice Address - Street 1:9330 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1808
Practice Address - Country:US
Practice Address - Phone:727-834-4900
Practice Address - Fax:727-834-4912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
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
GA10029982OtherAMERIGROUP
FL010552000Medicaid
SC11679BMedicaid
FL000030951OtherHUMANA
NY01055889Medicaid
20948OtherWELLCARE/STAYWELL
OH2697701Medicaid
MI304957898Medicaid
FL563OtherBLUE CROSS
0596706OtherAETNA
MI404957913Medicaid
GA000108732AMedicaid
039542100OtherBLACK LUNG
LA1782122Medicaid
100191Medicare Oscar/Certification