CENTERSTONE OF FLORIDA INC. NPI 1144251638

NPI Information

NPI: 1144251638
Provider Name: CENTERSTONE OF FLORIDA, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 10D0295091

Address:
2020 26TH AVE E
BRADENTON, FL
ZIP 34208
Phone: (941) 782-4600
Get Directions

CENTERSTONE OF FLORIDA, INC. is a mental health (including community mental health center) clinic center in Bradenton, FL. CENTERSTONE OF FLORIDA, INC. NPI is 1144251638. The provider is registered as an organization entity type.

The provider's business location address is:

2020 26TH AVE E
BRADENTON, FL
ZIP 34208-753
Phone: (941) 782-4600
Fax: (941) 782-4601

The provider's authorized official is Sean Gingras .
The authorized official title is Regional Finance Officer and has the following contact phone number (941) 782-4299.

The CLIA number assigned to this NPI record is 10D0295091 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 6/23/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	12-41-AD-9537-01	FLORIDA	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	12-41-AD-9537-03	FLORIDA	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	12-41-AD-9537-05	FLORIDA	Yes
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	12-41-AD-9537-06	FLORIDA	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	12-41-AD-9537-07	FLORIDA	No
6	261QM1300X	Clinic/Center	Multi-Specialty			No
7	273R00000X	Psychiatric Unit		1467	FLORIDA	No
8	283Q00000X	Psychiatric Hospital		3977	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	060280900	MEDICAID	FLORIDA
2	004469303	MEDICAID	FLORIDA
3	060280905	MEDICAID	FLORIDA
4	060280901	MEDICAID	FLORIDA
5	260859600	MEDICAID	FLORIDA
6	004469301	MEDICAID	FLORIDA
7	004469304	MEDICAID	FLORIDA
8	060280910	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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