CORNERSTONE OF JACKSONVILLE INC. NPI 1750039400

NPI Information

NPI: 1750039400
Provider Name: CORNERSTONE OF JACKSONVILLE, INC.
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 10D2212030

Address:
9039 BEACH BLVD
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 730-5500
Get Directions

CORNERSTONE OF JACKSONVILLE, INC. is a student health clinic center in Jacksonville, FL. CORNERSTONE OF JACKSONVILLE, INC. NPI is 1750039400. The provider is registered as an organization entity type.

The provider's business location address is:

9039 BEACH BLVD
JACKSONVILLE, FL
ZIP 32216-624
Phone: (904) 730-5500

The provider's authorized official is Donald Corley .
The authorized official title is Admin and has the following contact phone number (904) 730-5500.

The CLIA number assigned to this NPI record is 10D2212030 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2022 and was last updated on 3/11/2022.

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	261QS1000X	Clinic/Center	Student 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	90395366	OTHER		SCHOOL

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 »