Provider Demographics
NPI:1497821375
Name:OAKWOOD CENTER OF THE PALM BEACHES
Entity Type:Organization
Organization Name:OAKWOOD CENTER OF THE PALM BEACHES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING AND PRIVILEGING COORD
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:K
Authorized Official - Last Name:MOSIER
Authorized Official - Suffix:I
Authorized Official - Credentials:RHIA
Authorized Official - Phone:561-383-5719
Mailing Address - Street 1:1041 45TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2402
Mailing Address - Country:US
Mailing Address - Phone:561-383-8000
Mailing Address - Fax:561-514-1275
Practice Address - Street 1:1041 45TH ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2402
Practice Address - Country:US
Practice Address - Phone:561-383-8000
Practice Address - Fax:561-514-1275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3980283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2552346Medicaid
FLME81635OtherSTATE LICENSE