Ten Broeck Jacksonville Llc in Jacksonville - Psychiatric Hospital
Ten Broeck Jacksonville Llc - NPI 1497758312
Ten Broeck Jacksonville Llc is a Psychiatric Hospital in Jacksonville, Florida. Ten Broeck Jacksonville Llc practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for Ten Broeck Jacksonville Llc is 1497758312. The last update date is 2008-05-08.
Ten Broeck Jacksonville Llc's current location address is 6300 Beach Blvd, Jacksonville, Florida. You can contact this provider via phone number 9047249202 and fax number 9047243797. The mailing address for Ten Broeck Jacksonville Llc is 6300 Beach Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ten Broeck Jacksonville Llc |
|---|---|
| Address | 6300 Beach Blvd, Jacksonville, Florida |
| Phone Number | 9047249202 |
| Fax Number | 9047243797 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Corddry David |
| Telephone Number | 4078762200 |
NPI Number Detail
| NPI Number | 1497758312 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 6300 Beach Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 3221627080 |
| Phone Number | 9047249202 |
| Fax Number | 9047243797 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
| Licence No | 4011 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75144816 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ten Broeck Jacksonville Llc by the Centers for Medicare & Medicaid Services?
The Ten Broeck Jacksonville Llc has been issued the NPI (National Provider Identifier) 1497758312 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ten Broeck Jacksonville Llc is geographically located?
The Ten Broeck Jacksonville Llc is physically situated at the following location: 6300 Beach Blvd, Jacksonville, FL, 3221627080.
What is Ten Broeck Jacksonville Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ten Broeck Jacksonville Llc is Psychiatric Hospital, and the corresponding taxonomy classification code for this specialized field is 283Q00000X.
On what date did Ten Broeck Jacksonville Llc receive its 1497758312 assignment from the Centers for Medicare & Medicaid Services?
The Ten Broeck Jacksonville Llc was assigned its 1497758312 on 2005-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Ten Broeck Jacksonville Llc last refreshed?
The information related to the Ten Broeck Jacksonville Llc, including its address, specialty, and other relevant details, was last updated on 2008-05-08.