ADVENTHEALTH MEDICAL GROUP – NPI #1558530600
Clinic/Center

ADVENTHEALTH MEDICAL GROUP is an AHC clinic located in PALM COAST, FL. NPPES has assigned the NPI number 1558530600 to ADVENTHEALTH MEDICAL GROUP on February 22, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVENTHEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is MEMORIAL HOSPITAL FLAGLER INC.. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 5 years ago on Mar 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVENTHEALTH MEDICAL GROUP below.

NPI Profile for
MEMORIAL HOSPITAL FLAGLER INC.

NPI Number
1558530600
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEMORIAL HOSPITAL FLAGLER INC.
Doing Business As (dba): ADVENTHEALTH MEDICAL GROUP
Primary location
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164-5980
Phone: (386) 586-2000 Fax: (386) 586-4620
Mailing address
PO BOX 864623
ORLANDO, FL 32886-4623
Phone: (386) 671-4519 Fax: (386) 672-9904
Organization Subpart
Yes - ADVENTHEALTH MEDICAL GROUP is subpart of another organization.
Authorized Official
MARK RATHBUN
CFO
Phone: (386) 586-4200
Updated
Certification Date
Mar 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.