1679226690 NPI number — ST VINCENTS AMBULATORY CARE INC

Table of content: (NPI 1679226690)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679226690 NPI number — ST VINCENTS AMBULATORY CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST VINCENTS AMBULATORY CARE INC
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:
1679226690
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/17/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4500 SAILSBURY RD STE 210
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JACKSONVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32216
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-308-6169
Provider Business Mailing Address Fax Number:
904-308-4085

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
425 N LEE ST STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32204-1128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-450-8762
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2022

Additional Information

Authorized Official

Authorized Official Last Name:
HEMM
Authorized Official First Name:
MIRANDA
Authorized Official Middle Name:
Authorized Official Title or Position:
ENROLLMENT MANAGER
Authorized Official Telephone Number:
904-450-6004

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 276587086 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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