Organization Name: | COMMUNITY REHABILITATION CENTER INC |
NPI Number: | 1528165909 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIMMIE P. HICKS (CLINICAL DIRECTOR) |
Mailing Address: | 623 Beechwood Strret Jacksonville |
State: | FL US |
Postal Code: | 32206 |
Phone Number: | 9043581211 |
Fax Number: | 9043581551 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305S00000X |
License Number: | 305S00000X-POINT OF |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Point of Service |
Taxonomy Specialization: | |
Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |