POS Hospital Analysis Report
Provider Name
C
City
St
Zip
Line Value
S
Provider
Type
Accreditation Effective Date
00370
PROV0000
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
06/21/2003
DATE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
06/24/2006
DATE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
10/01/2005
DATE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
07/19/2003
DATE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
05/01/1999
DATE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
07/01/2004
DATE
Accreditation Expiration Date
00380
PROV0005
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
06/20/2006
DATE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
06/23/2009
DATE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
10/01/2008
DATE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
07/18/2006
DATE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
05/01/2002
DATE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
06/30/2007
DATE
Beds - Total
00400
PROV0740
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
696
BEDS
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
362
BEDS
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
1600
BEDS
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
1828
BEDS
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
577
BEDS
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
560
BEDS
Beds - Total Certified
00410
PROV0755
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
696
BEDS
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
362
BEDS
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
1600
BEDS
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
1828
BEDS
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
577
BEDS
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
560
BEDS
Current FMS Survey Date
00100
PROV0500
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
DATE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
DATE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
DATE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
DATE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
DATE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
DATE
Current Status of Record
00200
PROV1720
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
Accepted
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
Accepted
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
Accepted
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
Accepted
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
Accepted
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
Accepted
Date Approved for Medicare/Medicaid
00160
PROV1565
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
07/01/1966
DATE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
07/01/1966
DATE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
10/01/1977
DATE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
07/01/1966
DATE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
07/01/1966
DATE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
07/01/1966
DATE
Date of Prior Change in Ownership
00170
PROV1615
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
DATE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
10/01/1984
DATE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
DATE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
DATE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
DATE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
02/16/1993
DATE
Date of Validation Survey
00550
PROV0450
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
02/26/1991
DATE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
DATE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
07/10/1990
DATE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
06/19/1990
DATE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
04/06/2000
DATE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
06/29/2001
DATE
Eligibility for Medicare/Mediciad
00120
PROV0455
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
Yes
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
Yes
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
Yes
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
Yes
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
Yes
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
Yes
Intermediary/Carrier Servicing Provider
00140
PROV0605
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
Blue Cross (Florida)
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
Blue Cross (Florida)
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
Blue Cross (Florida)
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
Blue Cross (Florida)
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
Blue Cross (Florida)
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
Mutual of Omaha Insurance Company
Medicare/Medicaid Vendor Number
00150
PROV0655
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
CODE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
10140100
CODE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
10133800
CODE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
10129001
CODE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
10035800
CODE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
10036600
CODE
Official Survey Date
00110
PROV2740
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
02/26/1991
DATE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
12/07/1994
DATE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
09/25/2000
DATE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
06/19/1990
DATE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
04/06/2000
DATE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
07/21/2006
DATE
Old Provider Number for this Provider
00090
PROV0300
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
100170
CODE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
CODE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
CODE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
100162
CODE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
CODE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
CODE
Prior Intermediary Number
00180
PROV1620
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
CODE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
CODE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
CODE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
CODE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
CODE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
Blue Cross (Florida)
CODE
Provider Number
00190
PROV1680
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
100001
CODE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
100002
CODE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
100006
CODE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
100007
CODE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
100008
CODE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
100009
CODE
Psychiatric Unit Beds
00690
PROV1690
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
000
BEDS
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
020
BEDS
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
064
BEDS
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
075
BEDS
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
000
BEDS
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
050
BEDS
Psychiatric Unit Effective Date
00700
PROV1695
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
DATE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
10/01/1989
DATE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
10/01/1987
DATE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
01/01/2003
DATE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
DATE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
10/01/1999
DATE
Psychiatric Unit Termination Date
00730
PROV1710
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
DATE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
01/25/2000
DATE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
DATE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
DATE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
DATE
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
DATE
Rehabilitation Unit Beds
00810
PROV1730
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
0
BEDS
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
28
BEDS
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
35
BEDS
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
30
BEDS
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
36
BEDS
100009
CEDARS MEDICAL CENTER
A
MIAMI
FL
33136
0
BEDS
Rehabilitation unit Effective Date
00820
PROV1735
100001
SHANDS JACKSONVILLE
A
JACKSONVILLE
FL
32209
DATE
100002
BETHESDA MEMORIAL HOSPITAL
A
BOYNTON BEACH
FL
33435
10/01/2005
DATE
100006
ORLANDO REGIONAL HEALTHCARE
A
ORLANDO
FL
32806
10/01/1999
DATE
100007
FLORIDA HOSPITAL
A
ORLANDO
FL
32803
01/01/2007
DATE
100008
BAPTIST HOSPITAL OF MIAMI INC
A
MIAMI
FL
33176
09/30/1991
DATE
100009
CEDARS MEDICAL CENTER
A
MIAMI