Outreach Community Care Network

LBN: Outreach Community Care Network
Outreach Community Care Network is an health care organization with primary practice located at 240 N Frederick Ave , Daytona Beach FL 32114-3400. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Outreach Community Care Network can be contacted via phone (386) 255-5569, or through Jennings, Loretta via phone (386) 255-5569.

Contact Information

Primary practice address
240 N Frederick Ave Daytona Beach FL 32114-3400
Phone: (386) 255-5569
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jennings, Loretta
Phone: (386) 255-5569

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 171M00000X Florida

Profile Details

NPI number 1962794917
LBN Legal business name Outreach Community Care Network
DBA Doing business as
Authorized official Jennings, Loretta
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2011
Last updated May 10th, 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 1962794917 NPPES
Florida MEDICAID 800134861878011410N2

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