SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC NPI 1316112014

NPI Information

NPI: 1316112014
Provider Name: SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC

Doing Business As: BAPTIST MEDICAL CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
800 PRUDENTIAL DR
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-2092
Get Directions

SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC is an end-stage renal disease (esrd) treatment clinic center in Jacksonville, FL. SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC NPI is 1316112014. The provider is registered as an organization entity type.
The provider Is Doing Business As Baptist Medical Center.

The provider's business location address is:

800 PRUDENTIAL DR
JACKSONVILLE, FL
ZIP 32207-202
Phone: (904) 202-2092
Fax: (904) 376-4280

The provider's authorized official is Philip Boyce .
The authorized official title is Chief Revenue Officer and has the following contact phone number (904) 376-3760.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 6/1/2022.

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	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	4448	FLORIDA	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	010064102	MEDICAID	FLORIDA
2	00103771A	MEDICAID	GEORGIA
3	010064100	MEDICAID	FLORIDA
4	120	OTHER	FLORIDA	BLUE CROSS OF FLORIDA

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

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