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SHANDS JACKSONVILLE MEDICAL CENTER INC NPI 1821186313


NPI Information

NPI: 1821186313
Provider Name: SHANDS JACKSONVILLE MEDICAL CENTER INC

Doing Business As: SHANDS JACKSONVILLE

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 10D2107872

Address:
655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-8675
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SHANDS JACKSONVILLE MEDICAL CENTER INC is a general acute care hospital in Jacksonville, FL. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. SHANDS JACKSONVILLE MEDICAL CENTER INC NPI is 1821186313. The provider is registered as an organization entity type.
The provider Is Doing Business As Shands Jacksonville.

The provider's business location address is:

655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-8675
Fax: (904) 244-4027

The provider's authorized official is Dean Cocchi .
The authorized official title is Chief Financial Officer and has the following contact phone number (904) 244-5013.

The CLIA number assigned to this NPI record is 10D2107872 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 2/24/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareNo
2282N00000XGeneral Acute Care Hospital4063FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IP010067600MEDICAIDFLORIDA

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: 4/28/2024

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