Basic Information
| Provider Information | |||||||||
| NPI: | 1174716955 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAYCARE ALLIANT HOSPITAL INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 MAIN ST | ||||||||
| Address2: | MAILSTOP 402 | ||||||||
| City: | DUNEDIN | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346985848 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7272819479 | ||||||||
| FaxNumber: | 7277346486 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 MAIN ST | ||||||||
| Address2: | MAILSTOP 402 | ||||||||
| City: | DUNEDIN | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346985848 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277346302 | ||||||||
| FaxNumber: | 7277346486 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2007 | ||||||||
| LastUpdateDate: | 11/21/2019 | ||||||||
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| AuthorizedOfficialLastName: | RUSSELL | ||||||||
| AuthorizedOfficialFirstName: | ANITA | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7277346302 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | M.P.H | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282E00000X | Y | Hospitals | Long Term Care Hospital |
No ID Information.