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NPI Code Detail

MEDICARE: MERCY BEHAVIORAL CENTER INC

MEDICARE: MERCY BEHAVIORAL CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency10734FL
2251S00000XCommunity/Behavioral Health Agency10734FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265722193
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY BEHAVIORAL CENTER INC
Provider Business Mailing Address
First Line : 705 EAST 8TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4613
Country : US
Telephone Number : 305-883-5188
Fax Number : 786-332-3999
Provider Business Practice Location Address
First Line : 705 E 8TH AVE
Second Line : SUITE102
City : HIALEAH
State : FL
Zip : 33010-4613
Country : US
Telephone Number : 305-883-5188
Fax Number : 305-883-5183
Authorized Official
Title or Position : PRESIDENT
Name : MRS. FLORA PAZOS
Credential : MS
Telephone Number : 305-883-5188
Provider Enumeration Date : 04/12/2011
Last Update Date : 06/19/2017

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Directions to “MERCY BEHAVIORAL CENTER INC ” Practice Location

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