ST. VINCENT'S FIRST CARE-ORTEGA NPI 1386077006

NPI Information

NPI: 1386077006
Provider Name: ST. VINCENT'S FIRST CARE-ORTEGA
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5501 ROOSEVELT BLVD
JACKSONVILLE, FL
ZIP 32244
Phone: (904) 450-8100
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ST. VINCENT'S FIRST CARE-ORTEGA is a multi-specialty clinic center in Jacksonville, FL. ST. VINCENT'S FIRST CARE-ORTEGA NPI is 1386077006. The provider is registered as an organization entity type.

The provider's business location address is:

5501 ROOSEVELT BLVD
JACKSONVILLE, FL
ZIP 32244-345
Phone: (904) 450-8100
Fax: (904) 981-0051

The provider's authorized official is Mark Reddinger .
The authorized official title is Chief Operating Officer and has the following contact phone number (904) 379-1203.

The enumeration date for this NPI number is 8/16/2013 and was last updated on 8/16/2013.

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	Primary
1	261QP2300X	Clinic/Center	Primary Care	No
2	261QX0100X	Clinic/Center	Occupational Medicine	No
3	261QM1300X	Clinic/Center	Multi-Specialty	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

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