HIPPODROME STATE THEATRE (NPI# 1558365833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558365833 |
| Entity Type | Organization |
| Organization Name | HIPPODROME STATE THEATRE |
| Practice Address |
25 Se 2nd Pl Gainesville FL 32601-6567 |
| Practice Telephone | 3523735968 |
| Practice Fax Number | 3523719130 |
| Mailing Telephone | 3523735968 |
| Mailing Fax Number | 3523719130 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARY HAUSCH (PRODUCING DIRECTOR) |
| Authorized Official Telephone | 3523735968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0301AD068701 | FL | Behavioral Health & Social Service Providers |
| Street Address |
25 SE 2ND PL |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32601-6567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316584675 | Gainesville Peer Respite, Inc. | Peer Specialist | 728 E. University Avenue, Gainesville, FL 32601 | 2019-12-05 |
| 1376008375 | Three Treasures Holistic Care, LLC | Counselor | 2727 B Nw 43rd St, Suite B, Gainesville, FL 32601 | 2019-02-04 |
| 1376060301 | Healing Elements Integrative Acupuncture LLC | Acupuncturist | 305 Se 2cd Ave, Gainesville, FL 32601 | 2017-08-30 |
| 1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
| 1336590892 | Cheryl Fraley | Counselor | 1408 Nw 6th Street, Gainesville, FL 32601 | 2016-06-27 |
| 1710357363 | Erika Chase | Acupuncturist | 305 Se 2cd Avenue, Gainesville, FL 32601 | 2015-09-25 |
| 1811300148 | Stephanie Adamczak | Student in an Organized Health Care Education/Training Program | 1149 South Newell Drive, Gainesville, FL 32601 | 2014-06-04 |
| 1477979441 | Mary Santello | Mechanotherapist | 115 Ne 6th Terrace, Suite 205, Gainesville, FL 32601 | 2014-03-13 |
| 1740628957 | Caitlyn Kloss | Specialist | 900 Nw 8th Avenue, Gainesville, FL 32601 | 2013-06-10 |
| 1992054886 | Anthony Lorne Johnson | Massage Therapist | 1330 Nw 6th St Suite A, Gainesville, FL 32601 | 2012-09-06 |
| Find all providers in zip 32601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306293162 | Connetra Lashan Clark | Counselor | 1900 Se 4th St, 42, Gainesville, FL 32641-8791 | 2016-05-20 |
| 1861849622 | Earl Turner | Counselor | 1800 Nw 4th St Apt C27, Gainesville, FL 32609-8600 | 2016-05-20 |
| 1144614819 | Kelly Ann Nenezian | Counselor | 1810 Nw 6th St Ste E, Gainesville, FL 32609-8535 | 2015-03-20 |
| 1699178434 | Latosha Morgan | Counselor | 703 Ne 1st St, Gainesville, FL 32601-5304 | 2014-10-08 |
| 1750783791 | Christina Ann Maria Quinene | Counselor | 2305 Nw 65th Rd, Gainesville, FL 32653-1592 | 2014-09-22 |
| 1477796357 | Alicia M Bheer | Counselor | 4400 Sw 13th St, Gainesville, FL 32608-4008 | 2009-04-08 |
| 1164506846 | Heather S. Damron | Counselor | 4432 Nw 23rd Ave Ste 4, Gainesville, FL 32606-6560 | 2006-10-25 |
| 1821613449 | Suzanne Stanley | Counselor | 2318 Browns Bridge Rd, Gainesville, GA 30504-6041 | 2020-06-09 |
| 1902420367 | Lakesha Mafronsa Thomas | Counselor | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-06-02 |
| 1477185924 | Kehinde Walker | Counselor | 7350 Heritage Village Plz Unit 102, Gainesville, VA 20155-3085 | 2020-02-12 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32601 |
Please comment or provide details below to improve the information on HIPPODROME STATE THEATRE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.