CCN: 101301 NPI: 1255430757 Organization

LAKE CITY MEDICAL CENTER SUWANNEE CAMPUS

1100 11TH ST SW
LIVE OAK, FL 320643608

Contact Information

Phone 3863620800
Fax 3527330069
Enumeration Date 2006-09-21
Last Updated 2018-02-22

Taxonomies

Code: 282NC0060X (Primary) License State: FL License: 4314

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 10

providerType 37

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 10

providerType 37

operatingCostToChargeRatio 0.001

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 09102

localityCode 99