1396312021 NPI number — 901 45TH STREET WEST PALM BEACH FLORIDA BEHAVIORAL HEALTH HOSPITAL LLC

Table of content: (NPI 1396312021)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396312021 NPI number — 901 45TH STREET WEST PALM BEACH FLORIDA BEHAVIORAL HEALTH HOSPITAL LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
901 45TH STREET WEST PALM BEACH FLORIDA BEHAVIORAL HEALTH HOSPITAL LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396312021
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1283 MURFREESBORO PIKE STE 500
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37217-2421
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
629-867-2708
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
993 45TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANGONIA PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33407-2413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-312-7302
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/10/2021

Additional Information

Authorized Official

Authorized Official Last Name:
CANGE
Authorized Official First Name:
STEFAN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR, REGULATORY AFFAIRS
Authorized Official Telephone Number:
615-312-7302

Provider Taxonomy Codes

  • Taxonomy code: 283Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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