1063411668 NPI number — M-K OF FERNANDINA BEACH

Table of content: (NPI 1063411668)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063411668 NPI number — M-K OF FERNANDINA BEACH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
M-K OF FERNANDINA BEACH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063411668
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1625 LIME ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FERNANDINA BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32034-3017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-261-0771
Provider Business Mailing Address Fax Number:
904-261-3909

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1625 LIME ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FERNANDINA BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32034-3017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-261-0771
Provider Business Practice Location Address Fax Number:
904-261-3909
Provider Enumeration Date:
07/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MILLER
Authorized Official First Name:
LYNDA
Authorized Official Middle Name:
Authorized Official Title or Position:
NURSING HOME ADMINISTRATOR
Authorized Official Telephone Number:
904-261-0771

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  SNF1457096 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 022527400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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