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Contact Information

SCG BAYWOOD LLC
2000 17TH AVE S
SAINT PETERSBURG, FL33712
 Phone: 727-821-3544
 Fax: 727-821-0414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for SCG BAYWOOD LLC

NPI Number 1811999881
LBN Legal business name SCG BAYWOOD LLC
Authorized official ROBERT VAUGHAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2005
Last updated 02/07/2011 - About 15 years ago
Identifiers
FL License # NH2788
FL Medicaid 031665200
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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