Clay Behavioral Health Center Inc

LBN: Clay Behavioral Health Center Inc
Clay Behavioral Health Center Inc is an health care organization with primary practice located at 3292 County Road 220 , Middleburg FL 32068-4357. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Clay Behavioral Health Center Inc can be contacted via phone (904) 291-5561, or through Swathwood, Tina Marie via phone (904) 278-5644.

Contact Information

Primary practice address
3292 County Road 220 Middleburg FL 32068-4357
Fax:
Website:
Authorized official contact:
Name: Swathwood, Tina Marie

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 0410AD931700 Florida
Ambulatory Health Care Facilities / Primary Care 261QP2300X 060411902 Florida

Profile Details

NPI number 1437230398
LBN Legal business name Clay Behavioral Health Center Inc
DBA Doing business as
Authorized official Swathwood, Tina Marie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 18th, 2017 - about 7 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 1437230398 NPPES
Florida MEDICAID 060411902
Florida Other X0526

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