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COMMUNITY REHABILITATION CENTER INC NPI 1528165909


NPI Information

NPI: 1528165909
Provider Name: COMMUNITY REHABILITATION CENTER INC

Doing Business As: CRC

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
623 BEECHWOOD STRRET
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 358-1211
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COMMUNITY REHABILITATION CENTER INC is a point of service in Jacksonville, FL. The provider is 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. COMMUNITY REHABILITATION CENTER INC NPI is 1528165909. The provider is registered as an organization entity type.
The provider Is Doing Business As Crc.

The provider's business location address is:

623 BEECHWOOD STRRET
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 358-1211
Fax: (904) 358-1551

The provider's authorized official is Jimmie P. Hicks .
The authorized official title is Clinical Director and has the following contact phone number (904) 358-1211.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service305S00000X-POINT OFFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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