<Unavail>

LBN: Clay County Council On Aging, Inc.
<Unavail> is an health care organization with primary practice located at 604 Walnut St , Green Cove Springs FL 32043-3322. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Clay County Council On Aging, Inc. can be contacted via phone (904) 284-5977, or through Decandis, Andrew via phone (904) 531-5020.

Contact Information

Primary practice address
604 Walnut St Green Cove Springs FL 32043-3322
Phone: (904) 284-5977
Fax: (904) 284-0296
Website:
Map and Directions
Authorized official contact:
Name: Decandis, Andrew
Phone: (904) 531-5020

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 5666 Florida
Managed Care Organizations / Health Maintenance Organization 302R00000X Florida

Profile Details

NPI number 1679730824
LBN Legal business name Clay County Council On Aging, Inc.
DBA Doing business as <Unavail>
Authorized official Decandis, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2008
Last updated Jan 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679730824 NPPES
Florida MEDICAID 070035500

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