Organization
GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA WASHINKO CPA (CHIEF FINANCIAL OFFICER)
(727) 479-1800
Entity
Organization
Contact information
Practice address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 450-7269
(727) 479-1248
Mailing address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 450-7269
(727) 479-1248
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006356700
MANAGED CARE PROVIDER ID
FL
05
—
029915400
—
FL
05
—
029915401
—
FL
05
—
060569700
—
FL
05
—
060569701
—
FL
05
—
060569703
—
FL
05
—
060569709
—
FL
05
—
060569710
—
FL
05
—
060569714
—
FL
05
—
060569715
—
FL
01
—
1130180
PSYCHCARE
—
01
—
177849
MHN NETWORK
FL
01
—
224612000
MAGELLAN
FL
01
—
234010
AMERIGROUP
FL
01
—
7812787
AETNA
FL
01
—
Z105Y
BCBS OF FLORIDA
FL
Enumeration date
10/12/2006
Last updated
04/30/2014
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