Provider Demographics
NPI:1568254159
Name:SOUTHWEST VOLUSIA HEALTHCARE CORPORATION
Entity type:Organization
Organization Name:SOUTHWEST VOLUSIA HEALTHCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-917-5090
Mailing Address - Street 1:1061 MEDICAL CENTER DR STE 112
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8225
Mailing Address - Country:US
Mailing Address - Phone:386-917-7801
Mailing Address - Fax:386-917-7829
Practice Address - Street 1:1061 MEDICAL CENTER DR STE 112
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8225
Practice Address - Country:US
Practice Address - Phone:386-917-7801
Practice Address - Fax:386-917-7829
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVENTIST HEALTH SYSTEMS SUNBELT INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy