Organization
BAY MEDICAL CENTER
Active
Other names
Bay Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MORGAN (CFO)
(850) 763-0017
Entity
Organization
Contact information
Practice address
1940 HARRISON AVE, PANAMA CITY, FL 32405-4542
(888) 313-5258
(205) 313-5245
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0895
(888) 313-5258
(205) 313-5245
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056445100
—
FL
01
—
371451176
TRICARE GRP #
FL
01
—
38589
BCBS GRP #
FL
Enumeration date
05/12/2006
Last updated
06/18/2008
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