POLK COUNTY DRUG COURT NPI 1467405597

NPI Information

NPI: 1467405597
Provider Name: POLK COUNTY DRUG COURT
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 10D1001664

Address:
255 N BROADWAY AVE
BARTOW, FL
ZIP 33830
Phone: (863) 534-4983
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POLK COUNTY DRUG COURT is an addiction (substance use disorder) counselor in Bartow, FL. POLK COUNTY DRUG COURT NPI is 1467405597. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

255 N BROADWAY AVE
BARTOW, FL
ZIP 33830-912
Phone: (863) 534-4983
Fax: (863) 534-5854

The provider's authorized official is Jim B. Hornsby .
The authorized official title is Drug Court Manager and has the following contact phone number (863) 534-4503.

The CLIA number assigned to this NPI record is 10D1001664 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1453AD187401	FLORIDA	Yes

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

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