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Contact Information

THE HEALTH CENTER OF COCONUT CREEK, INC.
4125 W. SAMPLE RD
COCONUT CREEK, FL33073
 Phone: 954-968-8333
 Fax: 954-968-6898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for THE HEALTH CENTER OF COCONUT CREEK, INC.

NPI # 1457433864
LBN Legal business name THE HEALTH CENTER OF COCONUT CREEK, INC.
Authorized official SHAWN CORLEY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2006
Last updated 02/25/2010 - About 16 years ago
Identifiers
FL License # SNF130470979
FL Medicaid 02265100
FL Medicaid 022658100
Other L9C BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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