ACV COMMUNITY SERVICES LLC NPI 1174630693

NPI Information

NPI: 1174630693
Provider Name: ACV COMMUNITY SERVICES LLC

Other Name: COPELAND CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
10820 MARVIN E. JONES BLVD.
LIVE OAK, FL
ZIP 32060
Phone: (386) 658-5550
Get Directions

ACV COMMUNITY SERVICES LLC is a rural health clinic center in Live Oak, FL. ACV COMMUNITY SERVICES LLC NPI is 1174630693. The provider is registered as an organization entity type.
The provider Other Name Is Copeland Clinic.

The provider's business location address is:

10820 MARVIN E. JONES BLVD.
LIVE OAK, FL
ZIP 32060-890
Phone: (386) 658-5550
Fax: (386) 658-5666

The provider's authorized official is Craig A. Carter .
The authorized official title is President/ceo and has the following contact phone number (386) 658-5500.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 10/6/2008.

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	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	230620	OTHER	FLORIDA	AVMED
2	DA9143	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	RAILROAD MEDICARE
3	W01	OTHER	FLORIDA	BCBS CLINIC UB92
4	029511600	MEDICAID	FLORIDA
5	379125400	MEDICAID	FLORIDA
6	103819	MEDICARE OSCAR/CERTIFICATION	FLORIDA
7	99465	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE PART B

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 »