Community Rehabilitation Center Inc in Jacksonville - Point Of Service
Community Rehabilitation Center Inc - NPI 1528165909
Community Rehabilitation Center Inc is a Point Of Service in Jacksonville, Florida. Community Rehabilitation Center Inc practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Community Rehabilitation Center Inc is 1528165909. The last update date is 2007-07-20.
Community Rehabilitation Center Inc's current location address is 623 Beechwood St, Jacksonville, Florida. You can contact this provider via phone number 9043581211 and fax number 9043581551. The mailing address for Community Rehabilitation Center Inc is 623 Beechwood St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Rehabilitation Center Inc |
|---|---|
| Address | 623 Beechwood St, Jacksonville, Florida |
| Phone Number | 9043581211 |
| Fax Number | 9043581551 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Hicks P. Jimmie |
| Credentials | MA |
| Telephone Number | 9043581211 |
NPI Number Detail
| NPI Number | 1528165909 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-20 |
Provider Mailing Address Detail
| Address | 623 Beechwood St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322066236 |
| Phone Number | 9043581211 |
| Fax Number | 9043581551 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
| Licence No | 305S00000X-P |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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What is the unique identifier code issued to Community Rehabilitation Center Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Community Rehabilitation Center Inc has been assigned the NPI (National Provider Identifier) 1528165909. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Community Rehabilitation Center Inc?
The Community Rehabilitation Center Inc is situated at 623 Beechwood St, in the city of Jacksonville, state of FL, with the zip code 322066236.
What is Community Rehabilitation Center Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Community Rehabilitation Center Inc is Point Of Service, and the taxonomy code that categorizes this field of expertise is 305S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528165909 to Community Rehabilitation Center Inc?
The Centers for Medicare & Medicaid Services assigned the 1528165909 to Community Rehabilitation Center Inc on 2006-09-20.
As of what date were the Community Rehabilitation Center Inc's details last updated?
The information pertaining to the Community Rehabilitation Center Inc, including its address, specialty, and other details, was most recently updated on 2007-07-20.