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OH MARKETING SERVICES DBA BEACHSIDE REHAB NPI 1629447313


NPI Information

NPI: 1629447313
Provider Name: OH MARKETING SERVICES DBA BEACHSIDE REHAB
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
4005 N A1A STE 123
FORT PIERCE, FL
ZIP 34949
Phone: (772) 252-1125
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OH MARKETING SERVICES DBA BEACHSIDE REHAB is a rehabilitation and substance use disorder clinic center in Fort Pierce, FL. OH MARKETING SERVICES DBA BEACHSIDE REHAB NPI is 1629447313. The provider is registered as an organization entity type.

The provider's business location address is:

4005 N A1A STE 123
FORT PIERCE, FL
ZIP 34949-524
Phone: (772) 252-1125

The provider's authorized official is Keli Kornmiller .
The authorized official title is Credentialing Specialist and has the following contact phone number (561) 672-8345.

The enumeration date for this NPI number is 9/23/2015 and was last updated on 2/12/2016.


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
1251S00000XCommunity/Behavioral HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder56=========01FLORIDAYes

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.