Mat Okaloosa

LBN: Lakeview Center Inc
Mat Okaloosa is an health care organization with primary practice located at 1 11Th Ave Ste C1 , Shalimar FL 32579-1300. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Lakeview Center Inc can be contacted via phone (850) 609-1041, or through Hill, M. Allison via phone (850) 469-3500.

Contact Information

Primary practice address
1 11Th Ave Ste C1 Shalimar FL 32579-1300
Phone: (850) 609-1041
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hill, M. Allison
Phone: (850) 469-3500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X

Profile Details

NPI number 1629741756
LBN Legal business name Lakeview Center Inc
DBA Doing business as Mat Okaloosa
Authorized official Hill, M. Allison
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 26th, 2021
Last updated Aug 27th, 2021 - 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 1629741756 NPPES
Florida MEDICAID 060271000

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