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NPI Code Detail

MEDICARE: APALACHEE CENTER INC

MEDICARE: APALACHEE 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
1283Q00000XPsychiatric Hospital3914FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E14OTHERFLBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1033215504
Entity Type Code : Organization
Provider Name (Legal Business Name) : APALACHEE CENTER INC
Provider Business Mailing Address
First Line : 2634 CAPITAL CIR NE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4106
Country : US
Telephone Number : 850-523-3333
Fax Number : 850-523-3411
Provider Business Practice Location Address
First Line : 2634 CAPITAL CIR NE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4106
Country : US
Telephone Number : 850-523-3333
Fax Number : 850-523-3411
Authorized Official
Title or Position : DIRECTOR OF PATIENT FINANCIAL SRVCS
Name : APRIL D LANDRUM
Credential :
Telephone Number : 850-523-2243
Provider Enumeration Date : 09/15/2006
Last Update Date : 10/10/2019

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Directions to “APALACHEE CENTER INC ” Practice Location

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