Provider Demographics
NPI:1639237001
Name:OPERATION PAR INC
Entity Type:Organization
Organization Name:OPERATION PAR INC
Other - Org Name:NATC PASCO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-545-7564
Mailing Address - Street 1:7720 WASHINGTON ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-6553
Mailing Address - Country:US
Mailing Address - Phone:727-816-1200
Mailing Address - Fax:727-816-1201
Practice Address - Street 1:7720 WASHINGTON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6553
Practice Address - Country:US
Practice Address - Phone:727-816-1200
Practice Address - Fax:727-816-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL060705306Medicaid