Organization Active NPI

The Arc of Alachua County, Inc.

  • Community/Behavioral Health Agency
  • Gainesville, FL
National Provider Identifier
1134433352
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CONTRACT WITH APD Issued in FL
Legal business name
THE ARC OF ALACHUA COUNTY, INC.
Practice address
3303 NW 83Rd St
Gainesville, FL 32606-6227
Phone
(352) 334-4060
Fax
(352) 334-4059
NPI assigned
Jul 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard J. Bradley
Title
Executive Director
Phone
(352) 334-4060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X CONTRACT WITH APD FL
Community/Behavioral Health Agency 251S00000X CONTRACT WITH APD FL Primary

Addresses

Primary practice location

3303 NW 83Rd St
Gainesville, FL 32606-6227

Mailing address

3303 NW 83Rd St
Gainesville, FL 32606-6227
Phone (352) 334-4060

Other identifiers 2

IdentifierTypeStateIssuer
023826198MedicaidFL
023826196MedicaidFL

National Provider Directory

National Provider Directory

Locations

3303 NW 83rd St
Gainesville, FL 32606
Phone (352) 334-4060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1134433352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 NW 83RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066227",
            "telephone_number": "352-334-4060",
            "fax_number": "352-334-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 NW 83RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066227",
            "telephone_number": "352-334-4060",
            "fax_number": "352-334-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF ALACHUA COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "352-334-4060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "CONTRACT WITH APD",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "CONTRACT WITH APD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023826198",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023826196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.