ST. VINCENT'S MEDICAL CENTER - CLAY COUNTY INC NPI 1154729549

NPI Information

  • NPI: 1154729549
  • Provider Name: ST. VINCENT'S MEDICAL CENTER - CLAY COUNTY, INC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: ST. VINCENT'S CLAY COUNTY - CARDIOLOGY
  • CLIA Number: 10D1105858
  • Address: 1658 ST VINCENTS WAY
    SUITE 300
    MIDDLEBURG, FL
    ZIP 32068
  • Phone: (904) 276-5100

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NPI Details

ST. VINCENT'S MEDICAL CENTER - CLAY COUNTY, INC is a cardiovascular disease internal medicine in Middleburg, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ST. VINCENT'S MEDICAL CENTER - CLAY COUNTY, INC NPI is 1154729549. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Vincent's Clay County - Cardiology.

The provider's business location address is:

1658 ST VINCENTS WAY
SUITE 300
MIDDLEBURG, FL
ZIP 32068-446
Phone: (904) 276-5100
Fax: (904) 276-5393

The provider's authorized official is D. Blaine Claypool .
The authorized official title is President and has the following contact phone number (904) 602-1151.

The CLIA number assigned to this NPI record is 10D1105858 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2014 and was last updated on 12/17/2014.

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
1207RC0000XInternal MedicineCardiovascular DiseaseME49977FLORIDAYes

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
110-0321MEDICARE PINFLORIDA

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: 3/30/2025

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