SHANDS LIVE OAK REGIONAL MEDICAL CENTER – NPI #1255430757
General Acute Care Hospital

SHANDS LIVE OAK REGIONAL MEDICAL CENTER is a general acute care hospital located in LIVE OAK, FL. NPPES has assigned the NPI number 1255430757 to SHANDS LIVE OAK REGIONAL MEDICAL CENTER on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHANDS LIVE OAK REGIONAL MEDICAL CENTER” is a dba name, the actual legal business name for this organization is LIVE OAK HMA, LLC. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 8 years ago on Feb 22, 2018. 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 SHANDS LIVE OAK REGIONAL MEDICAL CENTER below.

NPI Profile for
LIVE OAK HMA, LLC

NPI Number
1255430757
Enumeration Date

(more than 19 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
LIVE OAK HMA, LLC
Doing Business As (dba): SHANDS LIVE OAK REGIONAL MEDICAL CENTER
Primary location
1100 11TH ST SW
LIVE OAK, FL 32064-3608
Phone: (386) 362-0800 Fax: (352) 733-0069
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAULA LALOR
DIRECTOR/DELEGATED OFFICIAL
Phone: (615) 925-4565
Updated
Identifiers

Identifiers for SHANDS LIVE OAK REGIONAL MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE RAIL ROADFLCF9177
MEDICAIDFL010179600
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
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 FL 4314

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.