Peace River Center

LBN: Peace River Center For Personal Development Inc
Peace River Center is an health care organization with primary practice located at 1239 E Main St , Bartow FL 33830-5058. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rural Health, Hospitals / Special Hospital, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Transportation Services / Non-emergency Medical Transport (VAN). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Peace River Center For Personal Development Inc can be contacted via phone (863) 519-0575, or through Deck, Jo via phone (863) 519-0575.

Contact Information

Primary practice address
1239 E Main St Bartow FL 33830-5058
Phone: (863) 519-0575
Fax: (863) 582-9251
Website:
Map and Directions
Authorized official contact:
Name: Deck, Jo BA, CPC
Phone: (863) 519-0575

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Hospitals / Special Hospital 284300000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1821097767
LBN Legal business name Peace River Center For Personal Development Inc
DBA Doing business as Peace River Center
Authorized official Deck, Jo BA, CPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Jun 24th, 2024 - about 5 months 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 1821097767 NPPES
Florida MEDICAID 060310411
Florida MEDICAID 060310428
Florida MEDICAID 060310420
Florida MEDICAID 060310426
Florida MEDICAID 060310405
Florida MEDICAID 060310413
Florida MEDICAID 060310429
Florida MEDICAID 060310401
Florida MEDICAID 060310406
Florida MEDICAID 060310410
Florida MEDICAID 060310412
Florida MEDICAID 060310414
Florida MEDICAID 060310415
Florida MEDICAID 060310417
Florida MEDICAID 060310423
Florida MEDICAID 060310432
Florida MEDICAID 060310434
Florida MEDICAID 060310437
Florida MEDICAID 060310409
Florida MEDICAID 761545101
Florida MEDICAID 060310418
Florida MEDICAID 060310404
Florida MEDICAID 060310425
Florida MEDICAID 060310400
Florida MEDICAID 060310416
Florida MEDICAID 060310419
Florida MEDICAID 060310421
Florida MEDICAID 060310422
Florida MEDICAID 060310424

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