Louise Graham Regeneration Center

LBN: Louise Graham Regeneration Center
Louise Graham Regeneration Center is an health care organization with primary practice located at 2301 3Rd Ave S , St Petersburg FL 33712-1646. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Louise Graham Regeneration Center can be contacted via phone (727) 327-9444, or through O'Hara, Arthur via phone (727) 578-5437.

Contact Information

Primary practice address
2301 3Rd Ave S St Petersburg FL 33712-1646
Phone: (727) 327-9444
Fax: (727) 327-9649
Website:
Map and Directions
Authorized official contact:
Name: O'Hara, Arthur
Phone: (727) 578-5437

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1730485749
LBN Legal business name Louise Graham Regeneration Center
DBA Doing business as
Authorized official O'Hara, Arthur
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2011
Last updated Feb 9th, 2011 - about 13 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 1730485749 NPPES
Florida MEDICAID 024019201
Florida MEDICAID 024019296

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