River Region Human Services Inc

LBN: River Region Human Services Inc
River Region Human Services Inc is an health care organization with primary practice located at 3901 Carmichael Ave , Jacksonville FL 32207-2325. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. River Region Human Services Inc can be contacted via phone (904) 899-6300, or through Distefano, John via phone (352) 317-3214.

Contact Information

Primary practice address
3901 Carmichael Ave Jacksonville FL 32207-2325
Phone: (904) 899-6300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Distefano, John
Phone: (352) 317-3214

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Florida

Profile Details

NPI number 1568507853
LBN Legal business name River Region Human Services Inc
DBA Doing business as
Authorized official Distefano, John
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Apr 12th, 2022 - about 2 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 1568507853 NPPES
Florida MEDICAID 060605700

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