Northeast Florida State Hospital

LBN: Florida Department Of Children And Families
Northeast Florida State Hospital is an health care organization with primary practice located at 7487 S State Road 121 Accounting Department, Macclenny FL 32063-5451. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. Florida Department Of Children And Families can be contacted via phone (904) 259-6211, or through Williams, Linda G. via phone (904) 330-2001.

Contact Information

Primary practice address
7487 S State Road 121 Accounting Department Macclenny FL 32063-5451
Phone: (904) 259-6211
Fax: (904) 259-7154
Website:
Map and Directions
Authorized official contact:
Name: Williams, Linda G.
Phone: (904) 330-2001

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 4004 Florida

Profile Details

NPI number 1013931765
LBN Legal business name Florida Department Of Children And Families
DBA Doing business as Northeast Florida State Hospital
Authorized official Williams, Linda G.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 18th, 2020 - about 4 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 1013931765 NPPES
Florida MEDICAID 026002900

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