THE NEMOURS FOUNDATION NPI 1265585806

NPI Information

NPI: 1265585806
Provider Name: THE NEMOURS FOUNDATION

Other Name: NEMOURS CHILDREN'S SPECIALTY CARE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2077491

Address:
807 CHILDRENS WAY
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 390-3600
Get Directions

THE NEMOURS FOUNDATION is a multi-specialty clinic center in Jacksonville, FL. THE NEMOURS FOUNDATION NPI is 1265585806. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Nemours Children's Specialty Care.

The provider's business location address is:

807 CHILDRENS WAY
JACKSONVILLE, FL
ZIP 32207-426
Phone: (904) 390-3600
Fax: (302) 651-4945

The provider's authorized official is Rodney A Mckendree .
The authorized official title is Vp, Finance and has the following contact phone number (904) 697-5628.

The CLIA number assigned to this NPI record is 10D2077491 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/16/2017.

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 State	Primary
1	103K00000X	Behavior Analyst			No
2	261QD1600X	Clinic/Center	Developmental Disabilities		No
3	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		No
4	261QG0250X	Clinic/Center	Genetics		No
5	261QH0700X	Clinic/Center	Hearing and Speech		No
6	261QM0855X	Clinic/Center	Adolescent and Children Mental Health		No
7	261QM2500X	Clinic/Center	Medical Specialty		No
8	261QR0200X	Clinic/Center	Radiology		No
9	261QR1100X	Clinic/Center	Research		No
10	261QU0200X	Clinic/Center	Urgent Care	FLORIDA	No
11	261QX0200X	Clinic/Center	Oncology		No
12	261QM1300X	Clinic/Center	Multi-Specialty		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	00763A	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	GROUP ID
2	00763N	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	GROUP ID
3	061950700	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	GROUP ID
4	061950729	MEDICAID	FLORIDA
5	061950721	MEDICAID	FLORIDA
6	00763	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	GROUP ID

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: 11/14/2023

NPI Synchronization or Removal

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