PEACE RIVER CENTER
NPI 1821097767
Family Medicine in Bartow,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 20, 2005

Contact Information

1239 E Main St
Bartow,
Post Code: 33830
Phone: (863) 519-0575
Fax: (863) 582-9251

Get Directions Be the first to review

Peace River Center in Bartow - Family Medicine

Peace River Center is a Family Medicine in Bartow, . Peace River Center practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Peace River Center is 1821097767. The last update date is 2024-10-07.

Peace River Center's current location address is 1239 E Main St, Bartow, . You can contact this provider via phone number (863) 519-0575 and fax number (863) 582-9251. The mailing address for Peace River Center is 1239 E Main St, Bartow, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1821097767
Provider Legal Name
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
Other Organization Name
PEACE RIVER CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
1239 E Main St, Bartow,
Location Phone
(863) 519-0575
Location Fax
(863) 582-9251
Mailing Address
Po Box 1559, Bartow, Florida(FL)
Mailing Phone
863-519-0575
Mailing Fax
863-582-9251
Enumeration Date
2005-07-20
Last Update Date
2024-10-07
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center, Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207Q00000X Family Medicine Physician

Family Medicine

()
2 251B00000X Case Management Agency

Case Management

()
3 251S00000X Community/Behavioral Health Agency

()
4 261QM0850X Adult Mental Health Clinic/Center

Clinic/Center, Adult Mental Health

()
5 261QM0855X Adolescent and Children Mental Health Clinic/Center

Clinic/Center, Adolescent and Children Mental Health

()
6 261QR1300X Rural Health Clinic/Center

Clinic/Center, Rural Health

()
7 284300000X Special Hospital

Special Hospital

()
8 320800000X Mental Illness Community Based Residential Treatment Facility

Community Based Residential Treatment Facility, Mental Illness

()
9 323P00000X Psychiatric Residential Treatment Facility

Psychiatric Residential Treatment Facility

()
10 343900000X Non-emergency Medical Transport (VAN)

Non-emergency Medical Transport (VAN)

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
060310400 MEDICAID (05) Florida (FL)
060310401 MEDICAID (05) Florida (FL)
060310404 MEDICAID (05) Florida (FL)
060310405 MEDICAID (05) Florida (FL)
060310406 MEDICAID (05) Florida (FL)
060310409 MEDICAID (05) Florida (FL)
060310410 MEDICAID (05) Florida (FL)
060310411 MEDICAID (05) Florida (FL)
060310412 MEDICAID (05) Florida (FL)
060310413 MEDICAID (05) Florida (FL)
060310414 MEDICAID (05) Florida (FL)
060310415 MEDICAID (05) Florida (FL)
060310417 MEDICAID (05) Florida (FL)
060310419 MEDICAID (05) Florida (FL)
060310421 MEDICAID (05) Florida (FL)
060310422 MEDICAID (05) Florida (FL)
060310423 MEDICAID (05) Florida (FL)
060310424 MEDICAID (05) Florida (FL)
060310425 MEDICAID (05) Florida (FL)
060310426 MEDICAID (05) Florida (FL)
060310429 MEDICAID (05) Florida (FL)
060310432 MEDICAID (05) Florida (FL)
060310434 MEDICAID (05) Florida (FL)
060310435 MEDICAID (05) Florida (FL)
060310437 MEDICAID (05) Florida (FL)
060310438 MEDICAID (05) Florida (FL)
060310439 MEDICAID (05) Florida (FL)
103255300 MEDICAID (05) Florida (FL)
103255700 MEDICAID (05) Florida (FL)

Reviews for PEACE RIVER CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821097767
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28410914712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 28410914712
2 + 8 + 4 + 1 + 0 + 9 + 1 + 4 + 7 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1821097767 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588667638 WILLIAM C PILCHER
Individual
Internal Medicine, Cardiovascular Disease 1824 KING STREET
JACKSONVILLE, Florida (FL)
904-388-1820
1114920261 RICHARD RANDALL THACKER
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, Florida (FL)
850-878-8235
1699778647 VISITING HOME HEALTH SERVICES, INC
LIFE CARE AT HOME
Organization
Home Health 3001 KEITH ST NW
CLEVELAND, Tennessee (TN)
423-473-5256
1306849336 ERIC L TOWNSEND
Individual
Dentist, General Practice 105 SOLANA RD
PONTE VEDRA, Florida (FL)
904-285-7711
1326041476 RICHARD G SCHWARTZ
Individual
Plastic Surgery 1500 N DIXIE HWY
WEST PALM BEACH, Florida (FL)
561-833-4022