SHANDS JACKSONVILLE MEDICAL CENTER INC NPI 1144962408

NPI Information

NPI: 1144962408
Provider Name: SHANDS JACKSONVILLE MEDICAL CENTER INC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2277034

Address:
655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-4894
Get Directions

SHANDS JACKSONVILLE MEDICAL CENTER INC is an urgent care clinic center in Jacksonville, FL. SHANDS JACKSONVILLE MEDICAL CENTER INC NPI is 1144962408. The provider is registered as an organization entity type.

The provider's business location address is:

655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-4894

The provider's authorized official is Dean Cocchi .
The authorized official title is Vice President Of Finance and has the following contact phone number (904) 244-5013.

The CLIA number assigned to this NPI record is 10D2277034 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/8/2022 and was last updated on 4/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »