ST VINCENTS AMBULATORY CARE INC NPI 1679226690

NPI Information

ST VINCENTS AMBULATORY CARE INC is a durable medical equipment medical supplies in Jacksonville, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ST VINCENTS AMBULATORY CARE INC NPI is 1679226690. The provider is registered as an organization entity type.

The provider's business location address is:

425 N LEE ST STE 101
JACKSONVILLE, FL
ZIP 32204-128
Phone: (904) 450-8762

The provider's authorized official is Miranda Hemm .
The authorized official title is Enrollment Manager and has the following contact phone number (904) 450-6004.

The CLIA number assigned to this NPI record is 10D2160306 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2022 and was last updated on 1/31/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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