St. Pete - Primary Care

LBN: Baycare Behavioral Health Inc.
St. Pete - Primary Care is an health care organization with primary practice located at 560 Jackson St N Ste 302 , St Petersburg FL 33705-1449. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Baycare Behavioral Health Inc. can be contacted via phone (727) 820-7701, or through Gorken, Lynda via phone (727) 281-9390.

Contact Information

Primary practice address
560 Jackson St N Ste 302 St Petersburg FL 33705-1449
Phone: (727) 820-7701
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gorken, Lynda
Phone: (727) 281-9390

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1114295680
LBN Legal business name Baycare Behavioral Health Inc.
DBA Doing business as St. Pete - Primary Care
Authorized official Gorken, Lynda
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2011
Last updated Feb 12th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114295680 NPPES
Florida MEDICAID 060297319

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