Northeast Floida State Hospital in Orange Park - Psychiatric Hospital
Northeast Floida State Hospital - NPI 1629185277
Northeast Floida State Hospital is a Psychiatric Hospital in Orange Park, Florida. Northeast Floida State Hospital practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for Northeast Floida State Hospital is 1629185277. The last update date is 2020-08-22.
Northeast Floida State Hospital's current location address is 1820 Wild Grape Ln, Orange Park, Florida. You can contact this provider via phone number 9042692606. The mailing address for Northeast Floida State Hospital is 1820 Wild Grape Ln, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Northeast Floida State Hospital |
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Address | 1820 Wild Grape Ln, Orange Park, Florida |
Phone Number | 9042692606 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SENIOR PHY |
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Authorized Official Name | Duhaylungsod M. Toribio |
Credentials | M.D. |
Telephone Number | 9042596211 |
NPI Number Detail
NPI Number | 1629185277 |
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Provider Enumeration Date | 2006-08-23 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1820 Wild Grape Ln |
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City | Orange Park |
State | Florida (FL) |
Post Code | 320037204 |
Phone Number | 9042692606 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychiatric Hospital |
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Taxonomy | 283Q00000X |
Licence No | ME27968 |
Definition: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
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What is the unique identification code assigned to Northeast Floida State Hospital by the Centers for Medicare & Medicaid Services?
The Northeast Floida State Hospital has been issued the NPI (National Provider Identifier) 1629185277. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Northeast Floida State Hospital?
The Northeast Floida State Hospital is situated at 1820 Wild Grape Ln, in the city of Orange Park, state of FL, with the zip code 320037204.
What is Northeast Floida State Hospital's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Northeast Floida State Hospital is Psychiatric Hospital, and the taxonomy classification code that categorizes this area of expertise is 283Q00000X.
When did the Northeast Floida State Hospital receive its 1629185277?
The Northeast Floida State Hospital was issued its 1629185277 on 2006-08-23, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Northeast Floida State Hospital, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Northeast Floida State Hospital, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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