ST VINCENTS AMBULATORY CARE INC NPI 1558344978

NPI Information

ST VINCENTS AMBULATORY CARE INC is a rural health clinic center in Hilliard, FL. ST VINCENTS AMBULATORY CARE INC NPI is 1558344978. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Hilliard Medical Center, Inc..

The provider's business location address is:

551616 US HIGHWAY 1
HILLIARD, FL
ZIP 32046-281
Phone: (904) 845-3574
Fax: (904) 845-7418

The provider's authorized official is Linda E Gooden .
The authorized official title is Amg Administration and has the following contact phone number (904) 450-8288.

The CLIA number assigned to this NPI record is 10D0949365 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 8/26/2019.

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:

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