Memorial Regional Hospital Primary Care

LBN: South Broward Hospital District
Memorial Regional Hospital Primary Care is an health care organization with primary practice located at 4105 Pembroke Rd , Hollywood FL 33021-8103. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. South Broward Hospital District can be contacted via phone (954) 265-8486, or through Carpenter, Leah via phone (954) 265-2995.

Contact Information

Primary practice address
4105 Pembroke Rd Hollywood FL 33021-8103
Phone: (954) 265-8486
Fax: (954) 985-4899
Website:
Map and Directions
Authorized official contact:
Name: Carpenter, Leah
Phone: (954) 265-2995

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PH22122 Florida

Profile Details

NPI number 1558473488
LBN Legal business name South Broward Hospital District
DBA Doing business as Memorial Regional Hospital Primary Care
Authorized official Carpenter, Leah
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 12th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558473488 NPPES
Florida MEDICAID 004667700
Florida Other 2007094

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