Provider Demographics
NPI:1174716955
Name:BAYCARE ALLIANT HOSPITAL INC
Entity type:Organization
Organization Name:BAYCARE ALLIANT HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:727-734-6302
Mailing Address - Street 1:601 MAIN ST
Mailing Address - Street 2:MAILSTOP 402
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5848
Mailing Address - Country:US
Mailing Address - Phone:727-281-9479
Mailing Address - Fax:727-734-6486
Practice Address - Street 1:601 MAIN ST
Practice Address - Street 2:MAILSTOP 402
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5848
Practice Address - Country:US
Practice Address - Phone:727-734-6302
Practice Address - Fax:727-734-6486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital