Provider Demographics
NPI:1417097593
Name:CARECENTRIX, INC.
Entity Type:Organization
Organization Name:CARECENTRIX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF QUALITY AND REGULATORY
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GODING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-901-2108
Mailing Address - Street 1:7725 WOODLAND CENTER BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-2428
Mailing Address - Country:US
Mailing Address - Phone:813-901-2150
Mailing Address - Fax:
Practice Address - Street 1:7725 WOODLAND CENTER BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2428
Practice Address - Country:US
Practice Address - Phone:813-901-2150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARECENTRIX HOLDING INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-07
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTIN