HOLY TRINITY COMMUNITY MEDICAL CENTER NPI 1831454248

NPI Information

NPI: 1831454248
Provider Name: HOLY TRINITY COMMUNITY MEDICAL CENTER
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4001 CONFEDERATE POINT RD
SUITE # 2
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 908-0046
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HOLY TRINITY COMMUNITY MEDICAL CENTER is a health service clinic center in Jacksonville, FL. HOLY TRINITY COMMUNITY MEDICAL CENTER NPI is 1831454248. The provider is registered as an organization entity type.

The provider's business location address is:

4001 CONFEDERATE POINT RD
SUITE # 2
JACKSONVILLE, FL
ZIP 32210-459
Phone: (904) 908-0046
Fax: (904) 908-0329

The provider's authorized official is Sharon Lisa Acevedo .
The authorized official title is Physician and has the following contact phone number (904) 908-0046.

The enumeration date for this NPI number is 7/11/2012 and was last updated on 9/17/2018.

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	261QH0100X	Clinic/Center	Health Service			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	277361600	MEDICAID	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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