Organization Active NPI

Leon F. Stewart-Hal S. Marchman Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Daytona Beach, FL
National Provider Identifier
1740285196
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
261QCI500X Issued in FL
Legal business name
LEON F. STEWART-HAL S. MARCHMAN CENTER, INC.
Practice address
3875 Tiger Bay Rd
Daytona Beach, FL 32124-1063
Phone
(386) 947-1328
Fax
(386) 947-1323
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Chester Bell
Title
Ceo
Phone
(386) 947-1480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 261QCI500X FL Primary

Addresses

Primary practice location

3875 Tiger Bay Rd
Daytona Beach, FL 32124-1063

Mailing address

3875 Tiger Bay Rd
Daytona Beach, FL 32124-1063
Phone (386) 947-1328

National Provider Directory

National Provider Directory
Tax ID family
Leon F Stewart-Hal S Marchman Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3875 Tiger Bay Rd
Daytona Beach, FL 32124
Phone (386) 947-1328

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740285196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 TIGER BAY RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241063",
            "telephone_number": "386-947-1328",
            "fax_number": "386-947-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 TIGER BAY RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241063",
            "telephone_number": "386-947-1328",
            "fax_number": "386-947-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON F. STEWART-HAL S. MARCHMAN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHESTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-947-1480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "261QCI500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.