IM SULZBACHER CENTER FOR THE HOMELESS INC NPI 1396369187

NPI Information

NPI: 1396369187
Provider Name: IM SULZBACHER CENTER FOR THE HOMELESS, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 10D0947911

Address:
5455 SPRINGFIELD BLVD
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 394-4958
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IM SULZBACHER CENTER FOR THE HOMELESS, INC is a federally qualified health center (fqhc) clinic center in Jacksonville, FL. IM SULZBACHER CENTER FOR THE HOMELESS, INC NPI is 1396369187. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5455 SPRINGFIELD BLVD
JACKSONVILLE, FL
ZIP 32208-166
Phone: (904) 394-4958

The provider's authorized official is Cindy Funkhouser .
The authorized official title is Ceo and has the following contact phone number (904) 394-4958.

The CLIA number assigned to this NPI record is 10D0947911 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/8/2020 and was last updated on 6/8/2020.

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	208000000X	Pediatrics				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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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