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TRI COUNTY HUMAN SERVICES INC. NPI 1164485074


NPI Information

NPI: 1164485074
Provider Name: TRI COUNTY HUMAN SERVICES, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D2135715

Address:
2725 HWY 60 E
BARTOW, FL
ZIP 33830
Phone: (863) 533-5860
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TRI COUNTY HUMAN SERVICES, INC. is a substance abuse rehabilitation facility in Bartow, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. TRI COUNTY HUMAN SERVICES, INC. NPI is 1164485074. The provider is registered as an organization entity type.

The provider's business location address is:

2725 HWY 60 E
BARTOW, FL
ZIP 33830-872
Phone: (863) 533-5860
Fax: (863) 533-5272

The provider's authorized official is Donald Blair Geldart .
The authorized official title is Medical Director and has the following contact phone number (863) 533-4139.

The CLIA number assigned to this NPI record is 10D2135715 - other - community mental with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 8/22/2020.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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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