BAYCARE BEHAVIORAL HEALTH INC. NPI 1962785352

NPI Information

NPI: 1962785352
Provider Name: BAYCARE BEHAVIORAL HEALTH INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
15311 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
Phone: (752) 540-9335
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BAYCARE BEHAVIORAL HEALTH INC. is a mental health (including community mental health center) clinic center in Brooksville, FL. BAYCARE BEHAVIORAL HEALTH INC. NPI is 1962785352. The provider is registered as an organization entity type.

The provider's business location address is:

15311 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-005
Phone: (752) 540-9335

The provider's authorized official is Lynda Gorken .
The authorized official title is Vice President and has the following contact phone number (727) 281-9390.

The enumeration date for this NPI number is 9/22/2011 and was last updated on 2/12/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		FLORIDA	Yes

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	Other Provider Identifier Issuer
1	060297306	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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