Hippodrome State Theatre

LBN: Hippodrome State Theatre
Hippodrome State Theatre is an health care organization with primary practice located at 25 Se 2Nd Pl , Gainesville FL 32601-6567. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Hippodrome State Theatre can be contacted via phone (352) 373-5968, or through Hausch, Mary via phone (352) 373-5968.

Contact Information

Primary practice address
25 Se 2Nd Pl Gainesville FL 32601-6567
Phone: (352) 373-5968
Fax: (352) 371-9130
Website:
Map and Directions
Authorized official contact:
Name: Hausch, Mary
Phone: (352) 373-5968

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0301AD068701 Florida

Profile Details

NPI number 1558365833
LBN Legal business name Hippodrome State Theatre
DBA Doing business as
Authorized official Hausch, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2005
Last updated Aug 22nd, 2020 - about 6 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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