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HIPPODROME STATE THEATRE NPI 1558365833


NPI Information

NPI: 1558365833
Provider Name: HIPPODROME STATE THEATRE
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
25 SE 2ND PL
GAINESVILLE, FL
ZIP 32601
Phone: (352) 373-5968
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HIPPODROME STATE THEATRE is an addiction (substance use disorder) counselor in Gainesville, FL. HIPPODROME STATE THEATRE NPI is 1558365833. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25 SE 2ND PL
GAINESVILLE, FL
ZIP 32601-567
Phone: (352) 373-5968
Fax: (352) 371-9130

The provider's authorized official is Mary Hausch .
The authorized official title is Producing Director and has the following contact phone number (352) 373-5968.

The enumeration date for this NPI number is 6/2/2005 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
1101YA0400XCounselorAddiction (Substance Use Disorder)0301AD068701FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.